Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $10,232.93 / $31,622.78	Facility		$1,737.80	$10,232.93	$31,622.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $26,302.68	Facility		$1,230.27	$2,187.76	$26,302.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,862.09	Facility		$1,479.11	$1,778.28	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,288.25	Facility		$1,258.93	$1,258.93	$1,288.25
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