Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,897.79 / $20,892.96	Facility		$2,818.38	$4,897.79	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $5,011.87	Facility		$2,398.83	$4,073.80	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $4,073.80	Facility		$3,019.95	$3,801.89	$4,073.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,754.23	Facility		$2,691.53	$2,691.53	$2,754.23
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