Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $36,307.81	Facility		$2,818.38	$5,754.40	$36,307.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,786.30 / $6,025.60	Facility		$2,754.23	$4,786.30	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $4,466.84	Facility		$3,630.78	$4,265.80	$4,466.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
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