Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $1,737.80 / $20,892.96	Facility		$28.84	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $33.11 / $42.66	Facility		$19.50	$33.11	$42.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $29.51 / $32.36	Facility		$25.70	$29.51	$32.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.88	Facility		$21.38	$21.38	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $6,165.95	Facility		$501.19	$1,071.52	$6,165.95