Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $7,943.28 / $20,892.96	Facility		$323.59	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $426.58 / $724.44	Facility		$331.13	$426.58	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $588.84	Facility		$204.17	$309.03	$588.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $316.23 / $316.23	Facility		$208.93	$316.23	$316.23
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,165.95 / $6,165.95 / $7,762.47	Facility	50	$6,165.95	$6,165.95	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $416.87 / $5,754.40	Facility		$117.49	$416.87	$5,754.40