Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $21,877.62	Facility		$2,238.72	$3,019.95	$21,877.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $3,162.28	Facility		$1,445.44	$2,570.40	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $2,398.83	Facility		$1,258.93	$2,290.87	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,659.59	Facility		$1,621.81	$1,621.81	$1,659.59
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