Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $20,892.96	Facility		$2,454.71	$3,548.13	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $3,388.44	Facility		$1,659.59	$2,691.53	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $2,754.23	Facility		$1,995.26	$2,570.40	$2,754.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,819.70	Facility		$1,778.28	$1,778.28	$1,819.70
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