Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $20,892.96	Facility		$2,818.38	$4,677.35	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,073.80 / $4,897.79	Facility		$2,290.87	$4,073.80	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,801.89	Facility		$3,090.30	$3,630.78	$3,801.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,162.28	Facility		$2,951.21	$2,951.21	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,311.31 / $37,153.52	Facility		$1,122.02	$3,311.31	$37,153.52