Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,513.56 / $17,782.79	Facility		$154.88	$1,513.56	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $194.98 / $724.44	Facility		$97.72	$194.98	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $562.34 / $691.83	Facility		$288.40	$562.34	$691.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $489.78	Facility		$478.63	$478.63	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40