Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,762.47 / $20,892.96	Facility		$1,513.56	$7,762.47	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $2,089.30	Facility		$1,000.00	$1,737.80	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $1,621.81	Facility		$1,348.96	$1,548.82	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,122.02	Facility		$1,096.48	$1,096.48	$1,122.02
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