Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,456.54 / $20,892.96	Facility		$3,388.44	$6,456.54	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,623.41 / $6,918.31	Facility		$3,388.44	$5,623.41	$6,918.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $5,623.41	Facility		$4,365.16	$5,248.07	$5,623.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,890.45	Facility		$3,715.35	$3,715.35	$3,890.45
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