Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,677.35 / $21,877.62	Facility		$1,659.59	$4,677.35	$21,877.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,691.53	Facility		$1,258.93	$1,949.84	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $1,819.70	Facility		$1,479.11	$1,698.24	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
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