Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,456.54 / $30,902.95	Facility		$616.60	$6,456.54	$30,902.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $1,202.26	Facility		$575.44	$954.99	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $851.14 / $912.01	Facility		$741.31	$851.14	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $630.96	Facility		$616.60	$616.60	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $29,512.09	Facility		$23,442.29	$23,442.29	$29,512.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $16,595.87 / $26,302.68	Facility		$3,981.07	$16,595.87	$26,302.68