Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,737.80 / $20,892.96	Facility		$954.99	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,258.93	Facility		$602.56	$1,023.29	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $1,023.29	Facility		$812.83	$954.99	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $691.83	Facility		$676.08	$676.08	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52