Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $20,892.96	Facility		$1,819.70	$2,818.38	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $23,988.33	Facility		$1,548.82	$2,398.83	$23,988.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $1,995.26	Facility		$1,548.82	$1,862.09	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
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