Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,570.88 / $21,877.62	Facility		$478.63	$4,570.88	$21,877.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $707.95	Facility		$331.13	$562.34	$707.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $501.19 / $524.81	Facility		$436.52	$501.19	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $363.08	Facility		$354.81	$354.81	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $6,165.95	Facility		$501.19	$1,071.52	$6,165.95