Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $8,912.51 / $28,840.32	Facility		$645.65	$8,912.51	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $8,128.31	Facility		$891.25	$1,071.52	$8,128.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $724.44 / $7,244.36	Facility		$389.05	$724.44	$7,244.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $691.83	Facility		$562.34	$660.69	$691.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $478.63 / $4,073.80	Facility		$467.74	$478.63	$4,073.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $31,622.78	Facility		$10,715.19	$16,218.10	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $33,884.42	Facility		$2,884.03	$17,782.79	$33,884.42