Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $20,892.96	Facility		$1,621.81	$2,454.71	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,187.76	Facility		$1,047.13	$1,737.80	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,698.24	Facility		$1,412.54	$1,659.59	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,174.90	Facility		$1,148.15	$1,148.15	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $7,244.36	Facility		$2,454.71	$3,981.07	$7,244.36