Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,623.41 / $20,892.96	Facility		$2,818.38	$5,623.41	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,677.35 / $5,623.41	Facility		$2,754.23	$4,677.35	$5,623.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,265.80 / $4,677.35	Facility		$3,715.35	$4,265.80	$4,677.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,162.28	Facility		$3,019.95	$3,019.95	$3,162.28
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