Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $20,892.96	Facility		$1,659.59	$2,630.27	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $23,988.33	Facility		$1,412.54	$2,187.76	$23,988.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $1,819.70	Facility		$1,479.11	$1,698.24	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
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