Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $20,892.96	Facility		$2,754.23	$3,890.45	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $4,168.69	Facility		$1,862.09	$3,162.28	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $3,019.95	Facility		$2,454.71	$2,818.38	$3,019.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
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