Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,089.30	Professional		$1,318.26	$1,659.59	$2,089.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,548.13	Facility		$1,778.28	$2,238.72	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,801.89	Professional		$1,778.28	$2,238.72	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,090.30	Facility		$2,238.72	$2,238.72	$3,090.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,754.23	Professional		$1,995.26	$1,995.26	$2,754.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $2,454.71	Professional		$1,862.09	$1,995.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $2,630.27	Professional		$933.25	$933.25	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00