Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $11,481.54 / $28,183.83	Facility		$4,677.35	$11,481.54	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $7,413.10	Professional		$977.24	$1,288.25	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,549.93 / $16,982.44	Facility		$5,888.44	$9,549.93	$16,982.44
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 $831.76 / $5,623.41 / $5,623.41	Facility		$831.76	$5,623.41	$5,623.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,606.93 / $12,589.25	Facility		$4,466.84	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,659.59	Professional		$1,621.81	$1,621.81	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $6,918.31 / $13,182.57	Facility		$602.56	$6,918.31	$13,182.57