Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $20,892.96	Facility		$741.31	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $851.14 / $1,096.48	Facility		$501.19	$851.14	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $812.83	Facility		$616.60	$758.58	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
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