Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $20,892.96	Facility		$977.24	$1,348.96	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $1,445.44	Facility		$660.69	$1,122.02	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,071.52	Facility		$831.76	$1,000.00	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
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