Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,025.60 / $18,620.87	Facility		$1,174.90	$6,025.60	$18,620.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,258.93 / $1,548.82	Facility		$724.44	$1,258.93	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,258.93	Facility		$851.14	$1,174.90	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $851.14 / $851.14	Facility		$831.76	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $3,715.35	Facility		$794.33	$794.33	$3,715.35