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 / $4,168.69 / $5,128.61	Facility		$2,511.89	$4,168.69	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $4,168.69	Facility		$3,090.30	$3,890.45	$4,168.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,818.38	Facility		$2,754.23	$2,754.23	$2,818.38
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