Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $20,892.96	Facility		$1,380.38	$2,137.96	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,548.82 / $1,905.46	Facility		$933.25	$1,548.82	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Facility		$1,230.27	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,023.29	Facility		$1,000.00	$1,000.00	$1,023.29
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