Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,943.28 / $21,877.62	Facility		$1,995.26	$7,943.28	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $707.95 / $3,235.94	Professional		$363.08	$707.95	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,238.72 / $3,890.45	Facility		$812.83	$2,238.72	$3,890.45
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 $331.13 / $2,187.76 / $2,187.76	Facility		$331.13	$2,187.76	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $4,897.79	Facility		$1,737.80	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $851.14	Professional		$416.87	$537.03	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,884.03 / $5,248.07	Facility		$602.56	$2,884.03	$5,248.07