Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $13,182.57 / $23,988.33	Facility		$676.08	$13,182.57	$23,988.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $7,079.46 / $23,442.29	Facility		$676.08	$7,079.46	$23,442.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,715.19 / $11,748.98	Facility		$7,079.46	$10,715.19	$11,748.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $8,317.64	Facility		$7,762.47	$7,762.47	$8,317.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $16,982.44 / $30,902.95	Facility		$12,302.69	$16,982.44	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $20,892.96 / $33,884.42	Facility		$8,511.38	$20,892.96	$33,884.42