Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $20,892.96	Facility		$2,570.40	$3,548.13	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $3,467.37	Facility		$1,659.59	$2,818.38	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $2,754.23	Facility		$2,238.72	$2,630.27	$2,754.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,862.09	Facility		$1,819.70	$1,819.70	$1,862.09
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