Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $15,848.93 / $28,183.83	Facility		$4,677.35	$15,848.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $12,589.25	Professional		$1,122.02	$1,174.90	$12,589.25
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 $32.36 / $50.12 / $75.86	Professional		$32.36	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $588.84 / $588.84	Facility		$234.42	$588.84	$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