Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,000.00 / $17,782.79	Facility		$181.97	$1,000.00	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $1,122.02	Facility		$707.95	$758.58	$1,122.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $194.98 / $831.76	Facility		$107.15	$194.98	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $269.15 / $275.42	Facility		$199.53	$269.15	$275.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $309.03	Facility		$186.21	$186.21	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $4,897.79	Facility		$1,862.09	$2,570.40	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,090.30 / $5,011.87	Facility		$891.25	$3,090.30	$5,011.87