Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,762.47 / $20,892.96	Facility		$4,168.69	$7,762.47	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $6,918.31 / $8,317.64	Facility		$4,073.80	$6,918.31	$8,317.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $6,760.83	Facility		$4,786.30	$6,309.57	$6,760.83
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