Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,265.80 / $21,877.62	Facility		$2,818.38	$4,265.80	$21,877.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $4,570.88	Facility		$2,041.74	$3,467.37	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $3,311.31	Facility		$2,691.53	$3,090.30	$3,311.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
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