Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $9,120.11 / $17,782.79	Facility		$407.38	$9,120.11	$17,782.79
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 $398.11 / $724.44 / $4,466.84	Facility		$398.11	$724.44	$4,466.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $741.31	Facility		$467.74	$645.65	$741.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $501.19 / $501.19	Facility		$489.78	$501.19	$501.19
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