Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,737.80 / $20,892.96	Facility		$398.11	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $436.52 / $537.03	Facility		$263.03	$436.52	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $407.38 / $426.58	Facility		$354.81	$407.38	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $295.12	Facility		$288.40	$288.40	$295.12
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