Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $20,892.96	Facility		$2,691.53	$3,715.35	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $3,715.35	Facility		$1,778.28	$2,951.21	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $2,951.21	Facility		$2,137.96	$2,818.38	$2,951.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,995.26	Facility		$1,949.84	$1,949.84	$1,995.26
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