Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $20,892.96	Facility		$2,511.89	$3,467.37	$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 $1,348.96 / $2,511.89 / $3,467.37	Facility		$1,348.96	$2,511.89	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $2,691.53	Facility		$2,238.72	$2,630.27	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,862.09	Facility		$1,819.70	$1,819.70	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,168.69 / $6,760.83	Facility		$1,548.82	$4,168.69	$6,760.83