Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $20,892.96	Facility		$1,230.27	$1,862.09	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $1,659.59	Facility		$812.83	$1,348.96	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,318.26	Facility		$1,096.48	$1,258.93	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $912.01	Facility		$891.25	$891.25	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $7,943.28 / $18,620.87	Facility		$6,309.57	$7,943.28	$18,620.87