Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,762.47 / $20,892.96	Facility		$1,096.48	$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 $691.83 / $1,348.96 / $5,888.44	Facility		$691.83	$1,348.96	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,148.15	Facility		$812.83	$1,096.48	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $776.25 / $954.99	Facility		$758.58	$776.25	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $12,589.25	Facility		$4,786.30	$6,606.93	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,244.36 / $13,182.57	Facility		$1,380.38	$7,244.36	$13,182.57