Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,413.10 / $20,892.96	Facility		$3,981.07	$7,413.10	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,606.93 / $7,943.28	Facility		$3,801.89	$6,606.93	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,025.60 / $6,456.54	Facility		$4,570.88	$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