Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $20,892.96	Facility		$2,630.27	$3,630.78	$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 $1,445.44 / $2,630.27 / $3,630.78	Facility		$1,445.44	$2,630.27	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $2,884.03	Facility		$2,089.30	$2,754.23	$2,884.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
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