Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,786.30 / $20,892.96	Facility		$2,818.38	$4,786.30	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,168.69 / $5,370.32	Facility		$2,454.71	$4,168.69	$5,370.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,715.35 / $3,981.07	Facility		$2,454.71	$3,715.35	$3,981.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
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