Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,456.54 / $20,892.96	Facility		$1,202.26	$6,456.54	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,288.25 / $4,265.80	Facility		$660.69	$1,288.25	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,258.93	Facility		$912.01	$1,202.26	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $870.96 / $977.24	Facility		$831.76	$870.96	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87