Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $63.10 / $177.83	Facility		$39.81	$63.10	$177.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $54.95 / $181.97	Facility		$20.42	$54.95	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $131.83 / $144.54	Facility		$87.10	$131.83	$144.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $100.00	Facility		$93.33	$93.33	$100.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,698.24	Facility		$575.44	$891.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $1,479.11	Facility		$602.56	$812.83	$1,479.11