Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,818.38 / $20,892.96	Facility		$117.49	$2,818.38	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $213.80	Facility		$89.13	$151.36	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $165.96	Facility		$134.90	$158.49	$165.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,370.32	Facility		$4,265.80	$4,265.80	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $524.81 / $5,754.40	Facility		$125.89	$524.81	$5,754.40