Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $7,943.28 / $20,892.96	Facility		$707.95	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility		$5,248.07	$5,248.07	$5,248.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $870.96 / $10,471.29	Facility		$467.74	$870.96	$10,471.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $758.58	Facility		$524.81	$691.83	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $524.81 / $524.81	Facility		$501.19	$524.81	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $14,125.38 / $26,915.35	Facility		$9,549.93	$14,125.38	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $17,378.01 / $30,199.52	Facility		$1,995.26	$17,378.01	$30,199.52