Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $7,943.28 / $20,892.96	Facility		$549.54	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $851.14	Facility		$416.87	$524.81	$851.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $676.08	Facility		$467.74	$562.34	$676.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $389.05 / $389.05	Facility		$380.19	$389.05	$389.05
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