Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $6,309.57 / $20,892.96	Facility		$3,090.30	$6,309.57	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,248.07 / $6,456.54	Facility		$3,090.30	$5,248.07	$6,456.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $5,248.07	Facility		$4,073.80	$4,786.30	$5,248.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,548.13	Facility		$3,467.37	$3,467.37	$3,548.13
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