Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $20,892.96	Facility		$2,818.38	$5,011.87	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $5,623.41	Facility		$2,570.40	$4,365.16	$5,623.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $4,073.80	Facility		$2,754.23	$3,890.45	$4,073.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,818.38	Facility		$2,754.23	$2,754.23	$2,818.38
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