Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,943.28 / $22,908.68	Facility		$1,584.89	$7,943.28	$22,908.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $23,988.33	Facility		$1,318.26	$2,041.74	$23,988.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $1,698.24	Facility		$1,318.26	$1,621.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,174.90	Facility		$1,148.15	$1,148.15	$1,174.90
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