Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $4,466.84 / $18,620.87	Facility		$263.03	$4,466.84	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $204.17 / $338.84	Facility		$144.54	$204.17	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $281.84	Facility		$204.17	$275.42	$281.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $194.98	Facility		$190.55	$190.55	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40