Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $20,892.96	Facility		$1,380.38	$2,137.96	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $23,988.33	Facility		$1,174.90	$1,819.70	$23,988.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,479.11	Facility		$1,230.27	$1,412.54	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
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