Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,000.00 / $17,782.79	Facility		$208.93	$1,000.00	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,348.96	Facility		$707.95	$870.96	$1,348.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $263.03 / $831.76	Facility		$123.03	$263.03	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $467.74 / $501.19	Facility		$309.03	$467.74	$501.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $346.74	Facility		$338.84	$338.84	$346.74
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