Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,120.11 / $20,892.96	Facility		$5,011.87	$9,120.11	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $10,471.29	Facility		$5,011.87	$8,511.38	$10,471.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,762.47 / $8,511.38	Facility		$6,606.93	$7,762.47	$8,511.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,754.40	Facility		$5,623.41	$5,623.41	$5,754.40
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