Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,309.57 / $20,892.96	Facility		$3,311.31	$6,309.57	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $7,079.46	Facility		$3,162.28	$5,495.41	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,897.79 / $5,248.07	Facility		$4,265.80	$4,897.79	$5,248.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,548.13	Facility		$3,467.37	$3,467.37	$3,548.13
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