Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,606.93 / $20,892.96	Facility		$2,041.74	$6,606.93	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $524.81 / $4,677.35	Professional		$147.91	$524.81	$4,677.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $10,232.93 / $15,848.93	Facility		$3,235.94	$10,232.93	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,754.40 / $9,120.11	Facility		$1,995.26	$5,754.40	$9,120.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,715.19 / $20,892.96	Facility		$7,079.46	$10,715.19	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $13,489.63 / $23,442.29	Facility		$1,995.26	$13,489.63	$23,442.29