Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,737.80 / $20,892.96	Facility		$616.60	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $933.25	Facility		$426.58	$707.95	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $630.96 / $676.08	Facility		$549.54	$630.96	$676.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $6,165.95	Facility		$501.19	$1,071.52	$6,165.95