Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $20,892.96	Facility		$1,348.96	$2,089.30	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $13,803.84	Facility		$1,096.48	$1,778.28	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,445.44	Facility		$1,071.52	$1,380.38	$1,445.44
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 $6,309.57 / $9,120.11 / $17,378.01	Facility		$6,309.57	$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