Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $8,912.51 / $20,892.96	Facility		$338.84	$8,912.51	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $416.87 / $4,168.69	Facility		$218.78	$416.87	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $338.84 / $354.81	Facility		$223.87	$338.84	$354.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,466.84 / $8,317.64	Facility		$3,311.31	$4,466.84	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $9,332.54	Facility		$1,698.24	$5,754.40	$9,332.54