Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $20,892.96	Facility		$1,949.84	$2,818.38	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $3,019.95	Facility		$1,348.96	$2,290.87	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,187.76	Facility		$1,737.80	$1,995.26	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,479.11	Facility		$1,445.44	$1,445.44	$1,479.11
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