Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $20,892.96	Facility		$1,479.11	$2,041.74	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,041.74	Facility		$977.24	$1,621.81	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,621.81	Facility		$1,318.26	$1,548.82	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,096.48	Facility		$1,071.52	$1,071.52	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52