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 / $3,162.28 / $3,890.45	Facility		$1,905.46	$3,162.28	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,090.30	Facility		$2,511.89	$2,951.21	$3,090.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,137.96	Facility		$2,089.30	$2,089.30	$2,137.96
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