Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,818.38 / $18,620.87	Facility		$363.08	$2,818.38	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $3,981.07	Facility		$501.19	$870.96	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $457.09 / $3,715.35	Facility		$251.19	$457.09	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $380.19 / $389.05	Facility		$323.59	$380.19	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $269.15 / $1,995.26	Facility		$263.03	$269.15	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $15,135.61	Facility		$5,370.32	$7,943.28	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,943.28 / $15,488.17	Facility		$933.25	$7,943.28	$15,488.17