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 $851.14 / $1,288.25 / $4,365.16	Professional		$851.14	$1,288.25	$4,365.16
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 $724.44 / $1,174.90 / $2,089.30	Facility		$724.44	$1,174.90	$2,089.30
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 $107.15 / $707.95 / $707.95	Facility		$107.15	$707.95	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,584.89	Facility		$602.56	$831.76	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $229.09	Professional		$204.17	$204.17	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,096.48 / $2,511.89	Facility		$154.88	$1,096.48	$2,511.89