Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,128.61 / $20,892.96	Facility		$2,818.38	$5,128.61	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,265.80 / $5,248.07	Facility		$2,511.89	$4,265.80	$5,248.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $4,265.80	Facility		$3,311.31	$3,890.45	$4,265.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,884.03	Facility		$2,754.23	$2,754.23	$2,884.03
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