Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $20,892.96	Facility		$2,818.38	$3,801.89	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $3,801.89	Facility		$1,819.70	$3,090.30	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $3,090.30	Facility		$2,511.89	$2,884.03	$3,090.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,089.30	Facility		$2,041.74	$2,041.74	$2,089.30
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