Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,630.78 / $20,892.96	Facility		$2,570.40	$3,630.78	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $3,890.45	Facility		$1,778.28	$3,019.95	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $2,818.38	Facility		$2,290.87	$2,630.27	$2,818.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,949.84	Facility		$1,905.46	$1,905.46	$1,949.84
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