Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $6,025.60 / $18,620.87	Facility		$436.52	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $758.58	Facility		$630.96	$676.08	$758.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $346.74 / $575.44	Facility		$251.19	$346.74	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $446.68 / $467.74	Facility		$371.54	$446.68	$467.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,890.45	Facility		$3,090.30	$3,090.30	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40