Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $6,456.54 / $20,892.96	Facility		$741.31	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,318.26 / $7,079.46	Professional		$501.19	$1,318.26	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $741.31 / $1,412.54	Facility		$169.82	$741.31	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $75.86	Professional		$48.98	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $478.63 / $478.63	Facility		$190.55	$478.63	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $588.84 / $1,096.48	Facility		$426.58	$588.84	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $7,244.36	Professional		$87.10	$87.10	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $1,862.09	Facility		$537.03	$758.58	$1,862.09