Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $6,025.60 / $17,782.79	Facility		$691.83	$6,025.60	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $2,454.71	Facility		$645.65	$645.65	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $933.25 / $5,754.40	Facility		$457.09	$933.25	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $741.31	Facility		$524.81	$691.83	$741.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $501.19 / $724.44	Facility		$478.63	$501.19	$724.44
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