Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $20,892.96	Facility		$2,344.23	$3,388.44	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $3,548.13	Facility		$1,621.81	$2,754.23	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $2,630.27	Facility		$2,137.96	$2,454.71	$2,630.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
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