Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,495.41 / $20,892.96	Facility		$2,884.03	$5,495.41	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,786.30 / $5,754.40	Facility		$2,754.23	$4,786.30	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,265.80 / $4,466.84	Facility		$3,715.35	$4,265.80	$4,466.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,090.30	Facility		$3,019.95	$3,019.95	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,801.89	Facility		$3,548.13	$3,548.13	$3,801.89
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