Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,548.13 / $18,620.87	Facility		$363.08	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,819.70	Facility		$467.74	$562.34	$1,819.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $1,548.82	Facility		$223.87	$407.38	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $389.05	Facility		$275.42	$371.54	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $912.01	Facility		$263.03	$263.03	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $6,456.54	Facility		$2,570.40	$3,388.44	$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