Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $8,128.31 / $20,892.96	Facility		$1,584.89	$8,128.31	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $15,488.17	Facility		$1,318.26	$2,089.30	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $1,698.24	Facility		$1,412.54	$1,621.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
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