Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $20,892.96	Facility		$1,584.89	$2,398.83	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $2,137.96	Facility		$1,023.29	$1,737.80	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $1,698.24	Facility		$1,412.54	$1,621.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,174.90	Facility		$1,148.15	$1,148.15	$1,174.90
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