Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,079.46 / $21,877.62	Facility		$4,073.80	$7,079.46	$21,877.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $8,511.38	Facility		$3,890.45	$6,760.83	$8,511.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,025.60 / $6,456.54	Facility		$5,248.07	$6,025.60	$6,456.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
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