Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $20,892.96	Facility		$2,818.38	$4,570.88	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $4,897.79	Facility		$2,187.76	$3,715.35	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $3,548.13	Facility		$2,884.03	$3,311.31	$3,548.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
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