Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,677.35 / $20,892.96	Facility		$616.60	$4,677.35	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $4,168.69	Facility		$426.58	$707.95	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $645.65 / $691.83	Facility		$537.03	$645.65	$691.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $18,620.87	Facility		$7,079.46	$9,772.37	$18,620.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,220.18 / $19,952.62	Facility		$2,137.96	$11,220.18	$19,952.62