Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $20,892.96	Facility		$2,238.72	$3,162.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $3,388.44	Facility		$1,513.56	$2,570.40	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,454.71	Facility		$1,949.84	$2,290.87	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
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