Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,737.80 / $20,892.96	Facility		$436.52	$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 $245.47 / $436.52 / $602.56	Facility		$245.47	$436.52	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $478.63	Facility		$389.05	$457.09	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $8,317.64	Facility		$2,290.87	$2,570.40	$8,317.64