Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,818.38 / $20,892.96	Facility		$645.65	$2,818.38	$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 $354.81 / $630.96 / $870.96	Facility		$354.81	$630.96	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $660.69 / $707.95	Facility		$575.44	$660.69	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $478.63	Facility		$467.74	$467.74	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $16,218.10	Facility		$1,698.24	$3,890.45	$16,218.10