Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,456.54 / $20,892.96	Facility		$3,548.13	$6,456.54	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,677.35 / $6,606.93	Facility		$2,511.89	$4,677.35	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $5,248.07	Facility		$3,630.78	$4,897.79	$5,248.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,630.78	Facility		$3,548.13	$3,548.13	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $5,754.40	Facility		$707.95	$1,258.93	$5,754.40