Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,943.28 / $24,547.09	Facility		$1,995.26	$7,943.28	$24,547.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $2,691.53	Facility		$1,288.25	$2,187.76	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,187.76	Facility		$1,737.80	$2,089.30	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,479.11	Facility		$1,445.44	$1,445.44	$1,479.11
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