Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,548.13 / $18,620.87	Facility		$562.34	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $13,182.57	Facility		$389.05	$707.95	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $575.44 / $602.56	Facility		$457.09	$575.44	$602.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $407.38	Facility		$398.11	$407.38	$407.38
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