Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,623.41 / $20,892.96	Facility		$3,090.30	$5,623.41	$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 $2,238.72 / $4,073.80 / $5,623.41	Facility		$2,238.72	$4,073.80	$5,623.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,265.80 / $4,365.16	Facility		$3,162.28	$4,265.80	$4,365.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,019.95	Facility		$2,951.21	$2,951.21	$3,019.95
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