Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,754.23 / $17,782.79	Facility		$208.93	$2,754.23	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,819.70	Facility		$467.74	$562.34	$1,819.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $371.54 / $1,071.52	Facility		$144.54	$371.54	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $562.34	Facility		$338.84	$501.19	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $389.05 / $912.01	Facility		$380.19	$389.05	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $6,456.54	Facility		$2,238.72	$3,311.31	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,715.35 / $7,079.46	Facility		$933.25	$3,715.35	$7,079.46