Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,548.13 / $18,620.87	Facility		$602.56	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $28,183.83	Facility		$467.74	$562.34	$28,183.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $645.65 / $22,387.21	Facility		$338.84	$645.65	$22,387.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $660.69	Facility		$457.09	$616.60	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $436.52 / $7,413.10	Facility		$426.58	$436.52	$7,413.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $38,904.51 / $74,131.02	Facility		$25,118.86	$38,904.51	$74,131.02
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $33,113.11 / $63,095.73	Facility		$6,309.57	$33,113.11	$63,095.73