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 / $2,754.23 / $3,388.44	Facility		$1,659.59	$2,754.23	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $2,691.53	Facility		$2,238.72	$2,570.40	$2,691.53
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