Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,995.26 / $17,782.79	Facility		$281.84	$1,995.26	$17,782.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $436.52 / $2,041.74	Facility		$257.04	$436.52	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,584.89	Facility		$1,096.48	$1,479.11	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,122.02	Facility		$1,047.13	$1,047.13	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $6,165.95	Facility		$501.19	$1,071.52	$6,165.95