Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,445.44 / $17,782.79	Facility		$478.63	$1,445.44	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,995.26	Facility		$467.74	$562.34	$1,995.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $691.83 / $1,445.44	Facility		$323.59	$691.83	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,023.29	Facility		$691.83	$977.24	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $707.95 / $1,047.13	Facility		$691.83	$707.95	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,709.64	Facility		$3,090.30	$4,570.88	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $9,332.54	Facility		$933.25	$5,128.61	$9,332.54