Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,943.28 / $20,892.96	Facility		$2,818.38	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $4,073.80	Facility		$1,949.84	$3,311.31	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $3,235.94	Facility		$2,344.23	$3,090.30	$3,235.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,238.72	Facility		$2,187.76	$2,187.76	$2,238.72
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