Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,943.28 / $20,892.96	Facility		$4,466.84	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,585.78 / $9,772.37	Facility		$4,365.16	$7,585.78	$9,772.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $6,606.93 / $7,079.46	Facility		$5,495.41	$6,606.93	$7,079.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
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