Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,737.80 / $20,892.96	Facility		$512.86	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $691.83	Facility		$346.74	$575.44	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $524.81 / $562.34	Facility		$467.74	$524.81	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $389.05	Facility		$380.19	$380.19	$389.05
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