Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,585.78 / $14,125.38	Facility		$912.01	$7,585.78	$14,125.38
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 $549.54 / $1,023.29 / $3,388.44	Facility		$549.54	$1,023.29	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $977.24	Facility		$676.08	$912.01	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $1,995.26	Facility		$660.69	$676.08	$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