Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $7,943.28 / $20,892.96	Facility		$316.23	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $398.11 / $676.08	Facility		$323.59	$398.11	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $302.00 / $575.44	Facility		$204.17	$302.00	$575.44
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
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $416.87 / $5,754.40	Facility		$117.49	$416.87	$5,754.40