Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $20,892.96	Facility		$1,737.80	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,698.24 / $4,168.69	Professional		$398.11	$1,698.24	$4,168.69
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 $33.11 / $50.12 / $75.86	Professional		$33.11	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,071.52	Facility		$707.95	$1,071.52	$1,071.52
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