Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $20,892.96	Facility		$3,801.89	$7,413.10	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,456.54 / $7,943.28	Facility		$3,890.45	$6,456.54	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,025.60 / $6,456.54	Facility		$5,011.87	$6,025.60	$6,456.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,365.16	Facility		$4,265.80	$4,265.80	$4,365.16
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