Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,495.41 / $20,892.96	Facility		$2,818.38	$5,495.41	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,570.88 / $5,495.41	Facility		$2,691.53	$4,570.88	$5,495.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $4,466.84	Facility		$3,467.37	$4,168.69	$4,466.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,090.30	Facility		$2,951.21	$2,951.21	$3,090.30
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