Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,467.37 / $18,620.87	Facility		$257.04	$3,467.37	$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 $134.90 / $194.98 / $338.84	Facility		$134.90	$194.98	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $269.15 / $281.84	Facility		$208.93	$269.15	$281.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40