Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $20,892.96	Facility		$1,071.52	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,445.44 / $23,988.33	Facility		$912.01	$1,445.44	$23,988.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,174.90	Facility		$933.25	$1,096.48	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,488.17 / $29,512.09	Facility		$10,715.19	$15,488.17	$29,512.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $20,417.38 / $33,113.11	Facility		$4,677.35	$20,417.38	$33,113.11