Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $7,943.28 / $19,054.61	Facility		$537.03	$7,943.28	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,981.07	Facility		$2,398.83	$2,398.83	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $812.83 / $10,715.19	Facility		$446.68	$812.83	$10,715.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $691.83	Facility		$562.34	$660.69	$691.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $467.74 / $467.74	Facility		$446.68	$467.74	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $18,620.87	Facility		$7,079.46	$9,772.37	$18,620.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $12,589.25 / $21,379.62	Facility		$2,454.71	$12,589.25	$21,379.62