Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,737.80 / $20,892.96	Facility		$912.01	$1,737.80	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,023.29 / $1,230.27	Facility		$616.60	$1,023.29	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $933.25 / $1,000.00	Facility		$831.76	$933.25	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Facility		$660.69	$660.69	$691.83
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