Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $20,892.96	Facility		$1,288.25	$1,995.26	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,513.56 / $1,905.46	Facility		$870.96	$1,513.56	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,412.54	Facility		$1,122.02	$1,318.26	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $954.99	Facility		$933.25	$933.25	$954.99
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