Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $3,467.37 / $18,620.87	Facility		$109.65	$3,467.37	$18,620.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $1,737.80	Facility		$89.13	$134.90	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $117.49	Facility		$95.50	$114.82	$117.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $81.28	Facility		$79.43	$79.43	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Facility		$776.25	$1,122.02	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,659.59 / $3,548.13	Facility		$660.69	$1,659.59	$3,548.13