Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $20,892.96	Facility		$3,019.95	$4,073.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $4,073.80	Facility		$1,995.26	$3,311.31	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,311.31	Facility		$2,454.71	$3,090.30	$3,311.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,238.72	Facility		$2,187.76	$2,187.76	$2,238.72
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