Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $7,943.28 / $20,892.96	Facility		$398.11	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $15,488.17	Facility		$331.13	$524.81	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $426.58	Facility		$346.74	$407.38	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $11,220.18 / $21,379.62	Facility		$7,244.36	$11,220.18	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $13,182.57 / $22,387.21	Facility		$3,311.31	$13,182.57	$22,387.21