Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,943.28 / $20,892.96	Facility		$1,819.70	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $2,454.71	Facility		$1,148.15	$1,949.84	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $1,949.84	Facility		$1,479.11	$1,862.09	$1,949.84
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 $1,995.26 / $3,019.95 / $5,495.41	Facility		$1,995.26	$3,019.95	$5,495.41