Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $7,943.28 / $20,892.96	Facility		$446.68	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $512.86 / $630.96	Facility		$295.12	$512.86	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $457.09 / $489.78	Facility		$398.11	$457.09	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $331.13	Facility		$323.59	$323.59	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,311.31 / $37,153.52	Facility		$1,122.02	$3,311.31	$37,153.52