Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,943.28 / $20,892.96	Facility		$2,454.71	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $3,235.94	Facility		$1,513.56	$2,630.27	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,691.53	Facility		$1,778.28	$2,454.71	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,862.09	Facility		$1,737.80	$1,737.80	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $3,715.35	Facility		$1,122.02	$1,348.96	$3,715.35