Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $20,892.96	Facility		$1,698.24	$2,454.71	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,290.87 / $15,848.93	Facility		$977.24	$2,290.87	$15,848.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $1,949.84	Facility		$1,148.15	$1,778.28	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,318.26	Facility		$1,288.25	$1,288.25	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $20,417.38 / $35,481.34	Facility		$1,995.26	$20,417.38	$35,481.34