Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $7,762.47 / $20,892.96	Facility		$218.78	$7,762.47	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $295.12 / $13,803.84	Facility		$186.21	$295.12	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $229.09 / $239.88	Facility		$194.98	$229.09	$239.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $10,964.78 / $19,054.61	Facility		$1,096.48	$10,964.78	$19,054.61