Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,548.13 / $18,620.87	Facility		$660.69	$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 $371.54 / $512.86 / $870.96	Facility		$371.54	$512.86	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $724.44	Facility		$562.34	$691.83	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40