Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,677.35 / $18,620.87	Facility		$1,412.54	$4,677.35	$18,620.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $17,378.01	Facility		$1,000.00	$1,778.28	$17,378.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Facility		$1,230.27	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,023.29	Facility		$1,000.00	$1,000.00	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $26,302.68 / $50,118.72	Facility		$17,378.01	$26,302.68	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $32,359.37 / $56,234.13	Facility		$1,995.26	$32,359.37	$56,234.13