Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,737.80 / $20,892.96	Facility		$478.63	$1,737.80	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $457.09 / $645.65	Facility		$257.04	$457.09	$645.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $524.81	Facility		$426.58	$501.19	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $354.81	Facility		$346.74	$346.74	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $5,754.40	Facility		$707.95	$1,258.93	$5,754.40