Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,548.13 / $18,620.87	Facility		$512.86	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $389.05 / $676.08	Facility		$281.84	$389.05	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $524.81 / $562.34	Facility		$426.58	$524.81	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $389.05	Facility		$371.54	$371.54	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40