Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $7,762.47 / $20,892.96	Facility		$630.96	$7,762.47	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $851.14 / $15,488.17	Facility		$537.03	$851.14	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $691.83	Facility		$562.34	$660.69	$691.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
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 / $13,803.84 / $29,512.09	Facility		$3,311.31	$13,803.84	$29,512.09