Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $6,025.60 / $18,620.87	Facility		$117.49	$6,025.60	$18,620.87
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 $83.18 / $147.91 / $8,317.64	Facility		$83.18	$147.91	$8,317.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $125.89	Facility		$104.71	$123.03	$125.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $87.10	Facility		$83.18	$87.10	$87.10
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 $1,698.24 / $12,302.69 / $20,892.96	Facility		$1,698.24	$12,302.69	$20,892.96