Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $20,892.96	Facility		$2,187.76	$3,019.95	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $3,162.28	Facility		$1,479.11	$2,398.83	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,630.27	Facility		$1,905.46	$2,290.87	$2,630.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,584.89	Facility		$1,548.82	$1,548.82	$1,584.89
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