Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,818.38 / $20,892.96	Facility		$588.84	$2,818.38	$20,892.96
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 $338.84 / $467.74 / $794.33	Facility		$338.84	$467.74	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $645.65	Facility		$537.03	$616.60	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $446.68	Facility		$436.52	$436.52	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,495.41 / $19,054.61	Facility		$3,019.95	$5,495.41	$19,054.61