Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $4,466.84 / $18,620.87	Facility		$288.40	$4,466.84	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $12,022.64	Facility		$501.19	$870.96	$12,022.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $11,481.54	Facility		$194.98	$363.08	$11,481.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $302.00	Facility		$251.19	$295.12	$302.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $6,025.60	Facility		$204.17	$208.93	$6,025.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $30,902.95	Facility		$10,715.19	$16,218.10	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $17,378.01 / $33,884.42	Facility		$933.25	$17,378.01	$33,884.42