Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,677.35 / $21,877.62	Facility		$831.76	$4,677.35	$21,877.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,122.02	Facility		$524.81	$912.01	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $851.14 / $912.01	Facility		$741.31	$851.14	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
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