Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $6,456.54 / $17,782.79	Facility		$758.58	$6,456.54	$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 $457.09 / $891.25 / $2,511.89	Facility		$457.09	$891.25	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $1,071.52	Facility		$676.08	$977.24	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,995.26	Facility		$741.31	$741.31	$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 $1,548.82 / $8,709.64 / $15,488.17	Facility		$1,548.82	$8,709.64	$15,488.17