Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $16,982.44 / $29,512.09	Facility		$2,454.71	$16,982.44	$29,512.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,090.30 / $15,848.93	Facility		$1,778.28	$3,090.30	$15,848.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $2,630.27	Facility		$1,949.84	$2,570.40	$2,630.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,819.70 / $1,819.70	Facility		$1,778.28	$1,819.70	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,417.38 / $35,481.34	Facility		$3,467.37	$20,417.38	$35,481.34