Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $14,125.38 / $37,153.52	Facility		$2,290.87	$14,125.38	$37,153.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $26,302.68	Facility		$1,621.81	$2,884.03	$26,302.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $2,454.71	Facility		$1,949.84	$2,398.83	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $28,840.32 / $56,234.13	Facility		$19,054.61	$28,840.32	$56,234.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $36,307.81 / $63,095.73	Facility		$4,265.80	$36,307.81	$63,095.73