Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $7,762.47 / $20,892.96	Facility		$724.44	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $9,549.93	Facility		$524.81	$912.01	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $776.25	Facility		$645.65	$758.58	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $537.03 / $537.03	Facility		$512.86	$537.03	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $9,772.37 / $19,054.61	Facility		$6,606.93	$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