Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $20,892.96	Facility		$2,344.23	$3,311.31	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $3,548.13	Facility		$1,584.89	$2,691.53	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $2,570.40	Facility		$1,949.84	$2,398.83	$2,570.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
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