Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $7,585.78 / $21,877.62	Facility		$1,258.93	$7,585.78	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $19,498.45 / $37,153.52	Facility		$18,620.87	$19,498.45	$37,153.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $1,905.46	Facility		$912.01	$1,548.82	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,445.44	Facility		$1,202.26	$1,380.38	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,000.00	Facility		$977.24	$977.24	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,311.31 / $37,153.52	Facility		$1,122.02	$3,311.31	$37,153.52