Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $20,892.96	Facility		$2,137.96	$2,884.03	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $2,884.03	Facility		$1,380.38	$2,344.23	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $2,344.23	Facility		$1,778.28	$2,187.76	$2,344.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,584.89	Facility		$1,548.82	$1,548.82	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52