Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $20,892.96	Facility		$1,445.44	$1,949.84	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,584.89 / $1,995.26	Facility		$954.99	$1,584.89	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,584.89	Facility		$1,288.25	$1,513.56	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,071.52	Facility		$1,047.13	$1,047.13	$1,071.52
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