Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,290.87 / $17,782.79	Facility		$562.34	$2,290.87	$17,782.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $1,071.52	Facility		$524.81	$691.83	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $831.76	Facility		$489.78	$602.56	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $416.87	Facility		$407.38	$407.38	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $61,659.50	Facility		$501.19	$1,071.52	$61,659.50