Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,235.94 / $20,892.96	Facility		$2,187.76	$3,235.94	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,467.37	Facility		$1,548.82	$2,570.40	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,511.89	Facility		$1,995.26	$2,290.87	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
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