Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,230.27 / $17,782.79	Facility		$724.44	$1,230.27	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $6,025.60	Facility		$3,548.13	$3,548.13	$6,025.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $954.99 / $8,709.64	Facility		$562.34	$954.99	$8,709.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $954.99	Facility		$724.44	$912.01	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $645.65	Facility		$630.96	$645.65	$645.65
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