Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $10,232.93 / $21,877.62	Facility		$912.01	$10,232.93	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $2,951.21	Professional		$380.19	$616.60	$2,951.21
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 $831.76 / $2,238.72 / $6,456.54	Facility		$831.76	$2,238.72	$6,456.54
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 $338.84 / $2,187.76 / $2,187.76	Facility		$338.84	$2,187.76	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $5,011.87	Facility		$1,949.84	$2,691.53	$5,011.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $870.96	Professional		$426.58	$549.54	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,162.28 / $6,309.57	Facility		$933.25	$3,162.28	$6,309.57