Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $6,456.54 / $20,892.96	Facility		$389.05	$6,456.54	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $436.52 / $724.44	Facility		$354.81	$436.52	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $616.60	Facility		$281.84	$346.74	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $331.13 / $331.13	Facility		$234.42	$331.13	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,248.07	Facility		$4,168.69	$4,168.69	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $416.87 / $5,754.40	Facility		$117.49	$416.87	$5,754.40