Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $6,309.57 / $18,620.87	Facility		$524.81	$6,309.57	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $2,630.27	Facility		$630.96	$676.08	$2,630.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $562.34 / $2,454.71	Facility		$288.40	$562.34	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $524.81 / $562.34	Facility		$436.52	$524.81	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $380.19 / $602.56	Facility		$363.08	$380.19	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $10,471.29	Facility		$3,715.35	$5,495.41	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,760.83 / $11,220.18	Facility		$1,995.26	$6,760.83	$11,220.18