Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,943.28 / $24,547.09	Facility		$2,187.76	$7,943.28	$24,547.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $26,915.35	Facility		$1,513.56	$2,691.53	$26,915.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,290.87	Facility		$1,905.46	$2,238.72	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,584.89	Facility		$1,548.82	$1,548.82	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $28,840.32 / $56,234.13	Facility		$21,379.62	$28,840.32	$56,234.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $36,307.81 / $63,095.73	Facility		$6,309.57	$36,307.81	$63,095.73