Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,737.80 / $20,892.96	Facility		$158.49	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $177.83 / $213.80	Facility		$107.15	$177.83	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $162.18 / $173.78	Facility		$144.54	$162.18	$173.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $120.23	Facility		$117.49	$117.49	$120.23
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