Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $20,892.96	Facility		$2,511.89	$3,467.37	$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 $1,995.26 / $2,630.27 / $2,754.23	Facility		$1,995.26	$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 $1,698.24 / $2,137.96 / $3,715.35	Facility		$1,698.24	$2,137.96	$3,715.35