Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,570.40 / $13,803.84	Facility		$263.03	$2,570.40	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $2,454.71	Facility		$467.74	$630.96	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,122.02 / $2,344.23	Facility		$208.93	$1,122.02	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,778.28	Facility		$1,258.93	$1,513.56	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,230.27	Facility		$977.24	$1,071.52	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $10,232.93	Facility		$3,630.78	$5,370.32	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $10,715.19	Facility		$933.25	$6,025.60	$10,715.19