Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $20,892.96	Facility		$2,290.87	$3,162.28	$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 $1,174.90 / $2,187.76 / $3,162.28	Facility		$1,174.90	$2,187.76	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $2,511.89	Facility		$1,778.28	$2,398.83	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
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