Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $20,892.96	Facility		$2,454.71	$3,388.44	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $3,311.31	Facility		$1,621.81	$2,691.53	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,630.27	Facility		$2,137.96	$2,570.40	$2,630.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,778.28	Facility		$1,737.80	$1,737.80	$1,778.28
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