Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,238.72 / $9,772.37	Facility		$131.83	$2,238.72	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,380.38	Facility		$467.74	$562.34	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $331.13 / $912.01	Facility		$102.33	$331.13	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $588.84	Facility		$354.81	$512.86	$588.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $707.95	Facility		$398.11	$407.38	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $4,897.79	Facility		$1,737.80	$2,570.40	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,884.03 / $5,248.07	Facility		$602.56	$2,884.03	$5,248.07