Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,737.80 / $20,892.96	Facility		$257.04	$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 $141.25 / $257.04 / $354.81	Facility		$141.25	$257.04	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $263.03 / $281.84	Facility		$229.09	$263.03	$281.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
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