Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,943.28 / $20,892.96	Facility		$933.25	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $5,495.41	Facility		$645.65	$1,174.90	$5,495.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $954.99 / $1,000.00	Facility		$758.58	$954.99	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $691.83	Facility		$676.08	$691.83	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,754.40 / $10,964.78	Facility		$3,801.89	$5,754.40	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,244.36 / $12,589.25	Facility		$933.25	$7,244.36	$12,589.25