Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $20,892.96	Facility		$2,818.38	$3,981.07	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $3,981.07	Facility		$1,949.84	$3,235.94	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $3,235.94	Facility		$2,290.87	$3,019.95	$3,235.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,187.76	Facility		$2,137.96	$2,137.96	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $3,715.35	Facility		$794.33	$794.33	$3,715.35