Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $9,772.37 / $22,908.68	Facility		$1,905.46	$9,772.37	$22,908.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $2,570.40	Facility		$1,230.27	$2,089.30	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,041.74	Facility		$1,513.56	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,412.54	Facility		$1,348.96	$1,348.96	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,413.10 / $12,022.64	Facility		$2,454.71	$7,413.10	$12,022.64