Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,466.84 / $20,892.96	Facility		$660.69	$4,466.84	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $776.25 / $977.24	Facility		$457.09	$776.25	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $691.83 / $724.44	Facility		$602.56	$691.83	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Facility		$489.78	$489.78	$501.19
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