Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $20,892.96	Facility		$2,187.76	$2,951.21	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $2,951.21	Facility		$1,380.38	$2,344.23	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,344.23	Facility		$1,584.89	$2,187.76	$2,344.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,584.89	Facility		$1,548.82	$1,548.82	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $7,244.36	Facility		$2,454.71	$3,388.44	$7,244.36