Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $6,025.60 / $18,620.87	Facility		$446.68	$6,025.60	$18,620.87
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 $316.23 / $562.34 / $6,309.57	Facility		$316.23	$562.34	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $478.63	Facility		$398.11	$467.74	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $331.13	Facility		$323.59	$331.13	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,754.40 / $10,964.78	Facility		$4,365.16	$5,754.40	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,762.47 / $12,589.25	Facility		$1,995.26	$7,762.47	$12,589.25