Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,818.38 / $18,620.87	Facility		$346.74	$2,818.38	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $2,344.23	Facility		$1,348.96	$1,995.26	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $478.63	Facility		$190.55	$338.84	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $354.81 / $371.54	Facility		$309.03	$354.81	$371.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $7,943.28	Facility		$6,309.57	$6,309.57	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $524.81 / $5,754.40	Facility		$125.89	$524.81	$5,754.40