Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,290.87 / $17,782.79	Facility		$812.83	$2,290.87	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $3,981.07	Facility		$467.74	$562.34	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $933.25 / $2,511.89	Facility		$478.63	$933.25	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,148.15	Facility		$707.95	$1,023.29	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,995.26	Facility		$776.25	$776.25	$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