Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $7,762.47 / $20,892.96	Facility		$812.83	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $2,884.03	Facility		$741.31	$741.31	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,096.48 / $5,888.44	Facility		$524.81	$1,096.48	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $851.14	Facility		$616.60	$812.83	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $588.84 / $645.65	Facility		$562.34	$588.84	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,606.93 / $12,589.25	Facility		$4,466.84	$6,606.93	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $6,918.31 / $13,182.57	Facility		$602.56	$6,918.31	$13,182.57