Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,290.87 / $17,782.79	Facility		$213.80	$2,290.87	$17,782.79
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 $138.04 / $338.84 / $2,398.83	Facility		$138.04	$338.84	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $467.74 / $524.81	Facility		$323.59	$467.74	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $363.08 / $707.95	Facility		$354.81	$363.08	$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