Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $20,892.96	Facility		$2,570.40	$3,801.89	$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 $1,412.54 / $2,570.40 / $3,467.37	Facility		$1,412.54	$2,570.40	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $2,818.38	Facility		$1,995.26	$2,691.53	$2,818.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $2,754.23	Facility		$1,862.09	$1,905.46	$2,754.23
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