Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,737.80 / $11,481.54	Facility		$302.00	$1,737.80	$11,481.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $7,079.46	Facility		$467.74	$562.34	$7,079.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $338.84 / $3,467.37	Facility		$154.88	$338.84	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $549.54 / $741.31	Facility		$316.23	$549.54	$741.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $2,187.76	Facility		$316.23	$501.19	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,549.93 / $18,620.87	Facility		$7,079.46	$9,549.93	$18,620.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $12,022.64 / $19,952.62	Facility		$2,454.71	$12,022.64	$19,952.62