Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,677.35 / $18,620.87	Facility		$562.34	$4,677.35	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,819.70	Facility		$630.96	$758.58	$1,819.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $660.69 / $1,548.82	Facility		$389.05	$660.69	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $588.84 / $660.69	Facility		$489.78	$588.84	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $912.01	Facility		$398.11	$407.38	$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