Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $6,025.60 / $18,620.87	Facility		$851.14	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $3,981.07	Facility		$501.19	$870.96	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $933.25 / $3,388.44	Facility		$524.81	$933.25	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $891.25	Facility		$741.31	$870.96	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $616.60 / $1,995.26	Facility		$602.56	$616.60	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,943.28 / $15,135.61	Facility		$5,754.40	$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