Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,737.80 / $20,892.96	Facility		$302.00	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $346.74 / $478.63	Facility		$213.80	$346.74	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $309.03 / $338.84	Facility		$269.15	$309.03	$338.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $223.87	Facility		$218.78	$218.78	$223.87
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