Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $20,892.96	Facility		$2,818.38	$3,981.07	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $3,981.07	Facility		$1,905.46	$3,235.94	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $3,162.28	Facility		$2,344.23	$3,019.95	$3,162.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,187.76	Facility		$2,137.96	$2,137.96	$2,187.76
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