Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $20,892.96	Facility		$1,318.26	$1,995.26	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,445.44 / $1,778.28	Facility		$851.14	$1,445.44	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,412.54	Facility		$1,148.15	$1,348.96	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
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