Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $20,892.96	Facility		$2,041.74	$2,884.03	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $3,090.30	Facility		$1,380.38	$2,344.23	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,238.72	Facility		$1,778.28	$2,041.74	$2,238.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
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