Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,943.28 / $20,892.96	Facility		$1,513.56	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,041.74	Facility		$954.99	$1,621.81	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,621.81	Facility		$1,122.02	$1,548.82	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,096.48	Facility		$1,071.52	$1,096.48	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $7,244.36	Facility		$2,454.71	$3,388.44	$7,244.36