Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,737.80 / $20,892.96	Facility		$269.15	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $316.23 / $407.38	Facility		$186.21	$316.23	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $275.42 / $302.00	Facility		$245.47	$275.42	$302.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Facility		$199.53	$199.53	$204.17
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