Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,737.80 / $20,892.96	Facility		$537.03	$1,737.80	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $407.38 / $691.83	Facility		$288.40	$407.38	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $588.84	Facility		$467.74	$549.54	$588.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $398.11	Facility		$389.05	$389.05	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $5,754.40	Facility		$707.95	$1,318.26	$5,754.40