Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,888.44 / $20,892.96	Facility		$3,019.95	$5,888.44	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,128.61 / $6,606.93	Facility		$2,951.21	$5,128.61	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $4,786.30	Facility		$3,715.35	$4,570.88	$4,786.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,311.31	Facility		$3,235.94	$3,235.94	$3,311.31
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