Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,737.80 / $20,892.96	Facility		$602.56	$1,737.80	$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 $309.03 / $457.09 / $794.33	Facility		$309.03	$457.09	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $660.69	Facility		$537.03	$616.60	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $446.68	Facility		$436.52	$436.52	$446.68
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