Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,000.00 / $17,782.79	Facility		$575.44	$1,000.00	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $6,606.93	Facility		$457.09	$758.58	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $741.31 / $776.25	Facility		$588.84	$741.31	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $524.81 / $524.81	Facility		$512.86	$524.81	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $14,791.08 / $28,183.83	Facility		$9,772.37	$14,791.08	$28,183.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $18,620.87 / $32,359.37	Facility		$1,995.26	$18,620.87	$32,359.37