Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,606.93 / $20,892.96	Facility		$3,630.78	$6,606.93	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,888.44 / $7,244.36	Facility		$3,467.37	$5,888.44	$7,244.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,495.41 / $5,888.44	Facility		$4,073.80	$5,495.41	$5,888.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,981.07	Facility		$3,890.45	$3,890.45	$3,981.07
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