Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,630.27 / $17,782.79	Facility		$398.11	$2,630.27	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,584.89 / $3,162.28	Facility		$346.74	$1,584.89	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,187.76	Facility		$1,584.89	$1,905.46	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,412.54	Facility		$1,380.38	$1,380.38	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,754.40 / $10,964.78	Facility		$4,365.16	$5,754.40	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,762.47 / $12,589.25	Facility		$1,995.26	$7,762.47	$12,589.25