Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,737.80 / $20,892.96	Facility		$691.83	$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 $371.54 / $676.08 / $954.99	Facility		$371.54	$676.08	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $758.58	Facility		$616.60	$724.44	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
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