Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,466.84 / $18,620.87	Facility		$1,000.00	$4,466.84	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $239.88 / $912.01	Professional		$85.11	$239.88	$912.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $575.44 / $831.76	Facility		$173.78	$575.44	$831.76
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 $93.33 / $302.00 / $478.63	Facility		$93.33	$302.00	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $1,071.52	Facility		$371.54	$562.34	$1,071.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $758.58 / $1,905.46	Facility		$549.54	$758.58	$1,905.46