Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,737.80 / $20,892.96	Facility		$389.05	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $436.52 / $524.81	Facility		$263.03	$436.52	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $398.11 / $426.58	Facility		$346.74	$398.11	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
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