Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $20,892.96	Facility		$1,949.84	$2,818.38	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,630.27	Facility		$1,258.93	$2,137.96	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,137.96	Facility		$1,659.59	$1,995.26	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Facility		$1,412.54	$1,412.54	$1,445.44
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