Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $11,481.54 / $28,183.83	Facility		$4,677.35	$11,481.54	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,235.94 / $4,365.16	Professional		$1,000.00	$3,235.94	$4,365.16
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 $630.96 / $1,778.28 / $3,019.95	Facility		$630.96	$1,778.28	$3,019.95
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 $251.19 / $1,698.24 / $1,698.24	Facility		$251.19	$1,698.24	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,801.89	Facility		$1,348.96	$1,995.26	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $676.08	Professional		$331.13	$426.58	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,344.23 / $4,570.88	Facility		$602.56	$2,344.23	$4,570.88