Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,943.28 / $24,547.09	Facility		$2,511.89	$7,943.28	$24,547.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $3,630.78	Facility		$1,698.24	$2,754.23	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $3,019.95	Facility		$2,238.72	$2,630.27	$3,019.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Facility		$1,778.28	$1,778.28	$1,862.09
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