Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $20,892.96	Facility		$2,398.83	$3,235.94	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $3,235.94	Facility		$1,548.82	$2,630.27	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $2,630.27	Facility		$1,905.46	$2,454.71	$2,630.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,778.28	Facility		$1,737.80	$1,737.80	$1,778.28
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