Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $4,466.84 / $18,620.87	Facility		$275.42	$4,466.84	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,890.45	Facility		$2,344.23	$2,344.23	$3,890.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $346.74 / $8,709.64	Facility		$199.53	$346.74	$8,709.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $295.12	Facility		$239.88	$295.12	$295.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $9,772.37 / $19,054.61	Facility		$6,606.93	$9,772.37	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,302.69 / $20,892.96	Facility		$1,995.26	$12,302.69	$20,892.96