Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $20,892.96	Facility		$2,818.38	$5,011.87	$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 $2,041.74 / $3,715.35 / $5,128.61	Facility		$2,041.74	$3,715.35	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $4,073.80	Facility		$2,884.03	$3,890.45	$4,073.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
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