Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $6,025.60 / $18,620.87	Facility		$457.09	$6,025.60	$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 $331.13 / $575.44 / $10,715.19	Facility		$331.13	$575.44	$10,715.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $489.78 / $489.78	Facility		$398.11	$489.78	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $331.13	Facility		$323.59	$331.13	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $9,772.37 / $19,054.61	Facility		$7,244.36	$9,772.37	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $12,302.69 / $20,892.96	Facility		$2,454.71	$12,302.69	$20,892.96