Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $3,548.13 / $18,620.87	Facility		$398.11	$3,548.13	$18,620.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $537.03	Facility		$269.15	$436.52	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $407.38 / $436.52	Facility		$354.81	$407.38	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $295.12	Facility		$288.40	$288.40	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $660.69 / $6,165.95	Facility		$190.55	$660.69	$6,165.95