Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,623.41 / $20,892.96	Facility		$2,818.38	$5,623.41	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,897.79 / $6,025.60	Facility		$2,951.21	$4,897.79	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $4,897.79	Facility		$3,890.45	$4,466.84	$4,897.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,311.31	Facility		$3,235.94	$3,235.94	$3,311.31
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