Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $5,370.32 / $17,782.79	Facility		$309.03	$5,370.32	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $3,981.07	Facility		$707.95	$912.01	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $380.19 / $2,511.89	Facility		$199.53	$380.19	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $489.78 / $575.44	Facility		$338.84	$489.78	$575.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,995.26	Facility		$398.11	$398.11	$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