Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,244.36 / $20,892.96	Facility		$3,801.89	$7,244.36	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,309.57 / $7,762.47	Facility		$3,715.35	$6,309.57	$7,762.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,888.44 / $6,165.95	Facility		$4,786.30	$5,888.44	$6,165.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,265.80	Facility		$4,073.80	$4,073.80	$4,265.80
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