Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,025.60 / $20,892.96	Facility		$3,019.95	$6,025.60	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,897.79 / $6,025.60	Facility		$2,884.03	$4,897.79	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,570.88 / $4,786.30	Facility		$3,388.44	$4,570.88	$4,786.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,311.31	Facility		$3,235.94	$3,235.94	$3,311.31
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