Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,202.26 / $20,892.96	Facility		$467.74	$1,202.26	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $691.83	Facility		$316.23	$537.03	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $478.63 / $512.86	Facility		$416.87	$478.63	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $13,489.63 / $34,673.69	Facility		$12,022.64	$13,489.63	$34,673.69