Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,000.00 / $17,782.79	Facility		$173.78	$1,000.00	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $199.53 / $691.83	Facility		$97.72	$199.53	$691.83
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $2,570.40 / $5,011.87	Facility	50	$1,737.80	$2,570.40	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $407.38 / $457.09	Facility		$229.09	$407.38	$457.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Facility		$309.03	$309.03	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,715.35	Facility		$1,445.44	$1,949.84	$3,715.35
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.96 / $2,951.21 / $5,623.41	Facility	50	$2,137.96	$2,951.21	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,454.71 / $4,786.30	Facility		$891.25	$2,454.71	$4,786.30