Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,168.69 / $20,892.96	Facility		$794.33	$4,168.69	$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 $416.87 / $794.33 / $1,096.48	Facility		$416.87	$794.33	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $851.14	Facility		$616.60	$812.83	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $575.44	Facility		$562.34	$562.34	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $6,760.83 / $10,715.19	Facility		$1,548.82	$6,760.83	$10,715.19