Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $8,128.31 / $28,183.83	Facility		$2,511.89	$8,128.31	$28,183.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,162.28 / $24,547.09	Facility		$1,778.28	$3,162.28	$24,547.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $2,691.53	Facility		$1,949.84	$2,570.40	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Facility		$1,778.28	$1,778.28	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $18,620.87 / $35,481.34	Facility		$14,125.38	$18,620.87	$35,481.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $22,908.68 / $39,810.72	Facility		$1,995.26	$22,908.68	$39,810.72