Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,754.40 / $20,892.96	Facility		$2,884.03	$5,754.40	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $5,754.40	Facility		$2,818.38	$4,677.35	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $4,570.88	Facility		$3,715.35	$4,466.84	$4,570.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,090.30	Facility		$3,019.95	$3,019.95	$3,090.30
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