Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,388.44	Facility		$79.43	$2,290.87	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $93.33	Professional		$30.20	$57.54	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $309.03 / $371.54	Facility		$213.80	$309.03	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $141.25 / $234.42	Professional		$57.54	$141.25	$234.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $134.90 / $263.03	Facility		$83.18	$134.90	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $181.97	Professional		$67.61	$131.83	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $75.86	Professional		$32.36	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $134.90	Facility		$89.13	$134.90	$134.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $489.78	Facility		$177.83	$257.04	$489.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $251.19	Professional		$60.26	$134.90	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $588.84	Facility		$245.47	$331.13	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03