Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $724.44 / $2,691.53	Facility		$363.08	$724.44	$2,691.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $812.83	Facility		$389.05	$645.65	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $645.65	Facility		$524.81	$616.60	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $436.52	Facility		$416.87	$416.87	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58