Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,071.52 / $17,782.79	Facility		$630.96	$1,071.52	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $11,220.18	Facility		$6,760.83	$6,760.83	$11,220.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $11,748.98	Facility		$489.78	$831.76	$11,748.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $831.76	Facility		$630.96	$794.33	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $562.34 / $562.34	Facility		$549.54	$562.34	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $26,302.68 / $50,118.72	Facility		$17,782.79	$26,302.68	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $32,359.37 / $56,234.13	Facility		$1,698.24	$32,359.37	$56,234.13