Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,244.36 / $20,892.96	Facility		$1,348.96	$7,244.36	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $26,302.68	Facility		$1,096.48	$1,737.80	$26,302.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,412.54 / $1,479.11	Facility		$870.96	$1,412.54	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,000.00	Facility		$977.24	$977.24	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $14,125.38 / $26,915.35	Facility		$10,715.19	$14,125.38	$26,915.35
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