Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $7,079.46 / $22,908.68	Facility		$467.74	$7,079.46	$22,908.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $645.65	Facility		$316.23	$512.86	$645.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $501.19	Facility		$407.38	$478.63	$501.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Facility		$331.13	$331.13	$338.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $7,762.47	Facility		$6,165.95	$6,165.95	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $660.69 / $6,165.95	Facility		$190.55	$660.69	$6,165.95