Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $3,548.13 / $18,620.87	Facility		$74.13	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $707.95 / $954.99	Facility		$213.80	$707.95	$954.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $190.55 / $562.34	Facility		$81.28	$190.55	$562.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $316.23 / $371.54	Facility		$218.78	$316.23	$371.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $257.04	Facility		$229.09	$257.04	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $4,897.79	Facility		$1,737.80	$2,570.40	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,884.03 / $5,248.07	Facility		$602.56	$2,884.03	$5,248.07