Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $20,892.96	Facility		$1,778.28	$2,570.40	$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 $870.96 / $1,288.25 / $2,290.87	Facility		$870.96	$1,288.25	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $1,905.46	Facility		$1,348.96	$1,778.28	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,819.70	Facility		$1,258.93	$1,318.26	$1,819.70
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