Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $5,623.41 / $17,782.79	Facility		$151.36	$5,623.41	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $3,981.07	Facility		$630.96	$758.58	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $218.78 / $3,388.44	Facility		$117.49	$218.78	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $204.17 / $213.80	Facility		$173.78	$204.17	$213.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $144.54 / $1,995.26	Facility		$141.25	$144.54	$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