Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $20,892.96	Facility		$1,412.54	$2,137.96	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $1,905.46	Facility		$912.01	$1,548.82	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,513.56	Facility		$1,096.48	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,047.13	Facility		$1,023.29	$1,023.29	$1,047.13
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