Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $3,981.07 / $17,782.79	Facility		$281.84	$3,981.07	$17,782.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $363.08 / $3,467.37	Facility		$223.87	$363.08	$3,467.37
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $4,466.84 / $11,748.98	Facility	50	$1,412.54	$4,466.84	$11,748.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $316.23	Facility		$251.19	$295.12	$316.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,709.64	Facility		$3,090.30	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,570.88 / $6,760.83 / $12,882.50	Facility	50	$4,570.88	$6,760.83	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,495.41 / $9,332.54	Facility		$933.25	$5,495.41	$9,332.54