Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $7,762.47 / $20,892.96	Facility		$562.34	$7,762.47	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $15,488.17	Facility		$389.05	$707.95	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $575.44 / $616.60	Facility		$501.19	$575.44	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $416.87	Facility		$407.38	$407.38	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $31,622.78	Facility		$10,715.19	$16,218.10	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,892.96 / $36,307.81	Facility		$3,467.37	$20,892.96	$36,307.81