Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $6,309.57 / $18,620.87	Facility		$446.68	$6,309.57	$18,620.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $489.78 / $616.60	Facility		$302.00	$489.78	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $457.09 / $478.63	Facility		$398.11	$457.09	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $331.13	Facility		$323.59	$323.59	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,786.30	Facility		$3,801.89	$3,801.89	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $660.69 / $6,165.95	Facility		$190.55	$660.69	$6,165.95