Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $549.54 / $630.96	Facility		$302.00	$549.54	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $23,988.33 / $50,118.72	Facility		$758.58	$23,988.33	$50,118.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $602.56	Facility		$234.42	$346.74	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $467.74 / $512.86	Facility		$416.87	$467.74	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $346.74	Facility		$338.84	$338.84	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $6,918.31	Facility		$707.95	$1,445.44	$6,918.31