Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,548.13 / $18,620.87	Facility		$616.60	$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 $331.13 / $478.63 / $794.33	Facility		$331.13	$478.63	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $630.96 / $660.69	Facility		$549.54	$630.96	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $457.09	Facility		$446.68	$446.68	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $645.65 / $6,165.95	Facility		$158.49	$645.65	$6,165.95