Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,248.07 / $20,892.96	Facility		$2,818.38	$5,248.07	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $2,290.87	Facility		$707.95	$1,995.26	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $5,128.61	Facility		$1,995.26	$2,951.21	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,981.07 / $4,365.16	Facility		$3,311.31	$3,981.07	$4,365.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,951.21	Facility		$2,884.03	$2,884.03	$2,951.21
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