Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $6,025.60 / $18,620.87	Facility		$741.31	$6,025.60	$18,620.87
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 $501.19 / $912.01 / $7,943.28	Facility		$501.19	$912.01	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $741.31 / $794.33	Facility		$537.03	$741.31	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $549.54 / $549.54	Facility		$537.03	$549.54	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,912.51 / $16,982.44	Facility		$5,888.44	$8,912.51	$16,982.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,220.18 / $19,498.45	Facility		$1,995.26	$11,220.18	$19,498.45