Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $4,466.84 / $18,620.87	Facility		$128.82	$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 $72.44 / $97.72 / $165.96	Facility		$72.44	$97.72	$165.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $138.04	Facility		$100.00	$131.83	$138.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Facility		$93.33	$93.33	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40