Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $16,595.87 / $28,183.83	Facility		$5,128.61	$16,595.87	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $2,511.89 / $8,128.31	Professional		$169.82	$2,511.89	$8,128.31
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 $5,128.61 / $14,125.38 / $23,988.33	Facility		$5,128.61	$14,125.38	$23,988.33
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 $2,089.30 / $14,125.38 / $14,125.38	Facility		$2,089.30	$14,125.38	$14,125.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $31,622.78	Facility		$10,715.19	$16,218.10	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $5,495.41	Professional		$2,691.53	$3,388.44	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $33,884.42	Facility		$2,884.03	$17,782.79	$33,884.42