Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $20,892.96	Facility		$2,089.30	$2,818.38	$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 $1,047.13 / $1,584.89 / $2,754.23	Facility		$1,047.13	$1,584.89	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,290.87	Facility		$1,698.24	$2,137.96	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,548.82	Facility		$1,513.56	$1,513.56	$1,548.82
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