Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $8,912.51 / $21,877.62	Facility		$2,238.72	$8,912.51	$21,877.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,019.95	Facility		$1,479.11	$2,454.71	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,398.83	Facility		$1,819.70	$2,344.23	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,621.81	Facility		$1,584.89	$1,584.89	$1,621.81
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