Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $6,025.60 / $18,620.87	Facility		$630.96	$6,025.60	$18,620.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $851.14 / $7,943.28	Facility		$512.86	$851.14	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $660.69 / $676.08	Facility		$549.54	$660.69	$676.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $467.74	Facility		$457.09	$457.09	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $10,000.00	Facility		$3,548.13	$5,128.61	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,413.10 / $12,302.69	Facility		$1,698.24	$7,413.10	$12,302.69