Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $20,892.96	Facility		$1,659.59	$2,511.89	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $2,238.72	Facility		$1,071.52	$1,778.28	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,778.28	Facility		$1,445.44	$1,698.24	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
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