Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,943.28 / $22,908.68	Facility		$1,819.70	$7,943.28	$22,908.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $23,988.33	Facility		$1,513.56	$2,398.83	$23,988.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $1,995.26	Facility		$1,513.56	$1,905.46	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,348.96	Facility		$1,318.26	$1,318.26	$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