Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,570.88 / $18,620.87	Facility		$478.63	$4,570.88	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $616.60	Facility		$275.42	$371.54	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $489.78 / $512.86	Facility		$338.84	$489.78	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $354.81	Facility		$346.74	$346.74	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40