Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $12,882.50 / $23,988.33	Facility		$3,388.44	$12,882.50	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $9,120.11	Professional		$851.14	$1,412.54	$9,120.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $15,848.93 / $23,988.33	Facility		$5,128.61	$15,848.93	$23,988.33
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 $5,495.41 / $14,125.38 / $14,125.38	Facility		$5,495.41	$14,125.38	$14,125.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $31,622.78	Facility		$10,715.19	$16,218.10	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,892.96 / $36,307.81	Facility		$3,467.37	$20,892.96	$36,307.81