Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,309.57 / $18,620.87	Facility		$776.25	$6,309.57	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,584.89 / $3,981.07	Professional		$309.03	$1,584.89	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $812.83 / $1,096.48	Facility		$269.15	$812.83	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $60.26	Professional		$44.67	$50.12	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $602.56 / $602.56	Facility		$87.10	$602.56	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $1,348.96	Facility		$512.86	$707.95	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $2,041.74	Facility		$645.65	$954.99	$2,041.74