Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $7,762.47 / $20,892.96	Facility		$616.60	$7,762.47	$20,892.96
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 $436.52 / $776.25 / $9,549.93	Facility		$436.52	$776.25	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $660.69	Facility		$549.54	$645.65	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $457.09 / $457.09	Facility		$436.52	$457.09	$457.09
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 $1,995.26 / $12,302.69 / $20,892.96	Facility		$1,995.26	$12,302.69	$20,892.96