Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $17,378.01 / $58,884.37	Facility		$2,238.72	$17,378.01	$58,884.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $27,542.29	Facility		$2,137.96	$3,019.95	$27,542.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $3,311.31	Facility		$1,949.84	$2,398.83	$3,311.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,905.46	Facility		$1,621.81	$1,621.81	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $29,512.09 / $56,234.13	Facility		$22,387.21	$29,512.09	$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