Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,737.80 / $20,892.96	Facility		$354.81	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $407.38 / $537.03	Facility		$239.88	$407.38	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $363.08 / $389.05	Facility		$316.23	$363.08	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,309.57	Facility		$5,011.87	$5,011.87	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $6,165.95	Facility		$501.19	$1,071.52	$6,165.95