Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,818.38 / $20,892.96	Facility		$446.68	$2,818.38	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $1,148.15	Facility		$524.81	$776.25	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $831.76	Facility		$575.44	$676.08	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
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