Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $7,762.47 / $20,892.96	Facility		$660.69	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,248.07	Facility		$3,162.28	$3,162.28	$5,248.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $812.83 / $13,803.84	Facility		$436.52	$812.83	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $707.95	Facility		$512.86	$645.65	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $478.63 / $478.63	Facility		$467.74	$478.63	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $14,125.38 / $26,915.35	Facility		$10,000.00	$14,125.38	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $17,782.79 / $30,199.52	Facility		$3,467.37	$17,782.79	$30,199.52