Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,762.47 / $20,892.96	Facility		$2,884.03	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,570.88 / $5,754.40	Facility		$2,884.03	$4,570.88	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $4,570.88	Facility		$3,388.44	$4,365.16	$4,570.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,019.95 / $3,090.30	Facility		$1,071.52	$3,019.95	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $4,786.30	Facility		$1,288.25	$1,445.44	$4,786.30