Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $20,892.96	Facility		$2,454.71	$3,467.37	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $3,630.78	Facility		$1,659.59	$2,884.03	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,691.53	Facility		$2,187.76	$2,570.40	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
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