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 / $3,311.31	Facility		$1,513.56	$2,570.40	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,454.71	Facility		$1,905.46	$2,238.72	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,659.59	Facility		$1,621.81	$1,621.81	$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