Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,677.35 / $21,877.62	Facility		$630.96	$4,677.35	$21,877.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $741.31 / $933.25	Facility		$436.52	$741.31	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $660.69 / $691.83	Facility		$575.44	$660.69	$691.83
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