Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $9,332.54 / $23,988.33	Facility		$1,047.13	$9,332.54	$23,988.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,318.26 / $31,622.78	Facility		$724.44	$1,318.26	$31,622.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,148.15	Facility		$954.99	$1,071.52	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $794.33	Facility		$776.25	$776.25	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $30,902.95 / $60,255.96	Facility		$22,387.21	$30,902.95	$60,255.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $39,810.72 / $69,183.10	Facility		$6,309.57	$39,810.72	$69,183.10