Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,548.13 / $18,620.87	Facility		$309.03	$3,548.13	$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 $169.82 / $239.88 / $398.11	Facility		$169.82	$239.88	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $331.13	Facility		$251.19	$316.23	$331.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $229.09	Facility		$223.87	$223.87	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $12,022.64	Facility		$2,137.96	$3,162.28	$12,022.64