Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,888.44 / $20,892.96	Facility		$3,019.95	$5,888.44	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $5,888.44	Facility		$2,884.03	$4,786.30	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,570.88 / $4,677.35	Facility		$3,801.89	$4,570.88	$4,677.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,162.28	Facility		$3,090.30	$3,090.30	$3,162.28
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