Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $20,892.96	Facility		$1,380.38	$2,041.74	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $13,803.84	Facility		$1,096.48	$1,819.70	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,513.56	Facility		$1,071.52	$1,412.54	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,023.29	Facility		$977.24	$977.24	$1,023.29
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 $3,311.31 / $11,748.98 / $19,054.61	Facility		$3,311.31	$11,748.98	$19,054.61