Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,943.28 / $20,892.96	Facility		$1,445.44	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,548.82 / $1,949.84	Facility		$891.25	$1,548.82	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,548.82	Facility		$1,148.15	$1,412.54	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,047.13	Facility		$1,023.29	$1,047.13	$1,047.13
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 $3,467.37 / $5,011.87 / $10,232.93	Facility		$3,467.37	$5,011.87	$10,232.93