Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $20,892.96	Facility		$1,737.80	$2,691.53	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $2,398.83	Facility		$1,148.15	$1,905.46	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,905.46	Facility		$1,548.82	$1,819.70	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
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