Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $20,892.96	Facility		$2,818.38	$4,168.69	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $4,365.16	Facility		$1,995.26	$3,467.37	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,235.94	Facility		$2,630.27	$3,090.30	$3,235.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
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