Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,818.38 / $4,677.35	Facility		$1,071.52	$2,818.38	$4,677.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $4,786.30	Facility		$954.99	$2,818.38	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $501.19	Facility		$346.74	$501.19	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $5,370.32	Facility		$2,137.96	$2,818.38	$5,370.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,000.00	Professional		$446.68	$446.68	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81