Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,818.38 / $13,803.84	Facility		$489.78	$2,818.38	$13,803.84
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 $426.58 / $575.44 / $954.99	Facility		$426.58	$575.44	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $741.31 / $794.33	Facility		$645.65	$741.31	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $537.03	Facility		$524.81	$524.81	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $16,218.10	Facility		$2,884.03	$3,981.07	$16,218.10