Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $4,466.84 / $18,620.87	Facility		$416.87	$4,466.84	$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 $199.53 / $281.84 / $524.81	Facility		$199.53	$281.84	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $426.58 / $457.09	Facility		$323.59	$426.58	$457.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $316.23	Facility		$257.04	$257.04	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40