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 $3,630.78 / $6,165.95 / $7,585.78	Facility		$3,630.78	$6,165.95	$7,585.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,495.41 / $6,025.60	Facility		$4,168.69	$5,495.41	$6,025.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,073.80	Facility		$3,981.07	$3,981.07	$4,073.80
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