Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $20,892.96	Facility		$2,089.30	$2,951.21	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $3,162.28	Facility		$1,445.44	$2,454.71	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $2,290.87	Facility		$1,905.46	$2,187.76	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,584.89	Facility		$1,548.82	$1,548.82	$1,584.89
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