Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,943.28 / $24,547.09	Facility		$3,162.28	$7,943.28	$24,547.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $4,677.35	Facility		$2,238.72	$3,801.89	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $3,715.35	Facility		$2,818.38	$3,548.13	$3,715.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,511.89	Facility		$2,454.71	$2,454.71	$2,511.89
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