Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,548.82 / $17,782.79	Facility		$309.03	$1,548.82	$17,782.79
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 $194.98 / $426.58 / $1,905.46	Facility		$194.98	$426.58	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $741.31 / $1,096.48	Facility		$616.60	$741.31	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $549.54	Facility		$524.81	$524.81	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $524.81 / $5,754.40	Facility		$125.89	$524.81	$5,754.40