Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,548.13 / $18,620.87	Facility		$446.68	$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 $239.88 / $331.13 / $575.44	Facility		$239.88	$331.13	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $457.09 / $489.78	Facility		$398.11	$457.09	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $331.13	Facility		$323.59	$323.59	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40