Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,918.31 / $20,892.96	Facility		$1,412.54	$6,918.31	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,041.74	Facility		$977.24	$1,621.81	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,548.82	Facility		$1,258.93	$1,445.44	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,318.26	Facility		$1,258.93	$1,258.93	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $8,317.64 / $17,782.79	Facility		$2,884.03	$8,317.64	$17,782.79