Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $7,943.28 / $20,892.96	Facility		$831.76	$7,943.28	$20,892.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,022.64 / $13,182.57 / $13,182.57	Facility	50	$12,022.64	$13,182.57	$13,182.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,047.13 / $5,011.87	Facility		$575.44	$1,047.13	$5,011.87
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $6,918.31 / $12,589.25	Facility	50	$4,365.16	$6,918.31	$12,589.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $891.25	Facility		$724.44	$851.14	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $602.56	Facility		$588.84	$588.84	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,897.79 / $9,120.11	Facility		$3,715.35	$4,897.79	$9,120.11
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.41 / $7,413.10 / $13,803.84	Facility	50	$5,495.41	$7,413.10	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,606.93 / $11,220.18	Facility		$1,995.26	$6,606.93	$11,220.18