Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,786.30 / $20,892.96	Facility		$2,187.76	$4,786.30	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $4,786.30	Facility		$2,290.87	$3,890.45	$4,786.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,801.89	Facility		$3,090.30	$3,630.78	$3,801.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,570.40	Facility		$2,511.89	$2,511.89	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $10,232.93	Facility		$3,467.37	$4,570.88	$10,232.93