Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,943.28 / $24,547.09	Facility		$2,398.83	$7,943.28	$24,547.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $10,964.78	Facility		$1,513.56	$2,630.27	$10,964.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $2,511.89	Facility		$1,778.28	$2,344.23	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,481.54 / $21,877.62	Facility		$8,317.64	$11,481.54	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $12,882.50 / $23,442.29	Facility		$2,691.53	$12,882.50	$23,442.29