Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $20,892.96	Facility		$1,698.24	$2,630.27	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $2,344.23	Facility		$1,148.15	$1,862.09	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,862.09	Facility		$1,513.56	$1,778.28	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,258.93	Facility		$1,230.27	$1,230.27	$1,258.93
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