Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $7,762.47 / $20,892.96	Facility		$524.81	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $933.25 / $9,549.93	Facility		$524.81	$933.25	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $794.33	Facility		$616.60	$758.58	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $537.03 / $537.03	Facility		$524.81	$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 $2,454.71 / $12,302.69 / $20,892.96	Facility		$2,454.71	$12,302.69	$20,892.96