Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $20,892.96	Facility		$1,778.28	$2,754.23	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,454.71	Facility		$1,174.90	$1,949.84	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $1,905.46	Facility		$1,584.89	$1,862.09	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,318.26	Facility		$1,288.25	$1,288.25	$1,318.26
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