Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,585.78 / $20,892.96	Facility		$4,073.80	$7,585.78	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,760.83 / $8,317.64	Facility		$3,981.07	$6,760.83	$8,317.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,165.95 / $6,606.93	Facility		$4,786.30	$6,165.95	$6,606.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,570.88	Facility		$4,466.84	$4,466.84	$4,570.88
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