Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,943.28 / $24,547.09	Facility		$3,090.30	$7,943.28	$24,547.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $4,265.80	Facility		$1,995.26	$3,388.44	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $3,388.44	Facility		$2,630.27	$3,235.94	$3,388.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,290.87	Facility		$2,238.72	$2,238.72	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $5,495.41	Facility		$1,995.26	$2,884.03	$5,495.41