Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $10,232.93 / $28,183.83	Facility		$691.83	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $4,365.16	Professional		$691.83	$691.83	$4,365.16
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 $213.80 / $676.08 / $977.24	Facility		$213.80	$676.08	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $75.86	Professional		$33.11	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $371.54 / $588.84	Facility		$120.23	$371.54	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,318.26	Facility		$446.68	$691.83	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $229.09	Professional		$117.49	$117.49	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $870.96 / $1,905.46	Facility		$416.87	$870.96	$1,905.46