Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $20,892.96	Facility		$2,238.72	$3,090.30	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,090.30	Facility		$1,479.11	$2,454.71	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,398.83	Facility		$1,995.26	$2,344.23	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,659.59	Facility		$1,621.81	$1,621.81	$1,659.59
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