Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $6,456.54 / $21,877.62	Facility		$851.14	$6,456.54	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $501.19 / $3,467.37	Professional		$74.13	$501.19	$3,467.37
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 $208.93 / $933.25 / $1,621.81	Facility		$208.93	$933.25	$1,621.81
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 $125.89 / $354.81 / $575.44	Facility		$125.89	$354.81	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,318.26	Facility		$512.86	$691.83	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $223.87	Professional		$112.20	$112.20	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $1,949.84	Facility		$416.87	$912.01	$1,949.84