Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,786.30 / $20,892.96	Facility		$2,818.38	$4,786.30	$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 $1,949.84 / $3,548.13 / $4,786.30	Facility		$1,949.84	$3,548.13	$4,786.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $3,890.45	Facility		$2,754.23	$3,715.35	$3,890.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,630.27	Facility		$2,570.40	$2,570.40	$2,630.27
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