Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $6,025.60 / $18,620.87	Facility		$537.03	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $10,000.00	Facility		$501.19	$870.96	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $676.08 / $11,748.98	Facility		$363.08	$676.08	$11,748.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $575.44	Facility		$467.74	$549.54	$575.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $389.05 / $6,025.60	Facility		$380.19	$389.05	$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