Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $7,943.28 / $21,877.62	Facility		$588.84	$7,943.28	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $6,025.60 / $13,182.57	Professional		$1,348.96	$6,025.60	$13,182.57
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 $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $371.54 / $588.84	Facility		$83.18	$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 $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $2,041.74	Facility		$645.65	$891.25	$2,041.74