Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $21,877.62	Facility		$1,584.89	$2,137.96	$21,877.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,187.76	Facility		$1,071.52	$1,737.80	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,737.80	Facility		$1,412.54	$1,659.59	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,174.90	Facility		$1,148.15	$1,148.15	$1,174.90
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