Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $20,892.96	Facility		$2,089.30	$2,818.38	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $2,818.38	Facility		$1,348.96	$2,290.87	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $2,290.87	Facility		$1,778.28	$2,137.96	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,548.82	Facility		$1,513.56	$1,513.56	$1,548.82
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