Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $20,892.96	Facility		$2,454.71	$3,388.44	$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 $1,258.93 / $2,398.83 / $3,388.44	Facility		$1,258.93	$2,398.83	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $2,691.53	Facility		$1,905.46	$2,570.40	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
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