Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,548.13 / $18,620.87	Facility		$190.55	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $2,454.71	Facility		$478.63	$478.63	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $257.04 / $5,754.40	Facility		$128.82	$257.04	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $204.17	Facility		$151.36	$199.53	$204.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $138.04 / $707.95	Facility		$134.90	$138.04	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $12,589.25	Facility		$4,365.16	$6,606.93	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,413.10 / $13,489.63	Facility		$1,380.38	$7,413.10	$13,489.63