Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,818.38 / $18,620.87	Facility		$213.80	$2,818.38	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $851.14	Facility		$630.96	$741.31	$851.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $213.80 / $302.00	Facility		$125.89	$213.80	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $234.42	Facility		$190.55	$223.87	$234.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,467.37	Facility		$2,754.23	$2,754.23	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $6,918.31	Facility		$812.83	$1,348.96	$6,918.31