Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $213.80 / $1,621.81	Facility		$97.72	$213.80	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $275.42	Professional		$81.28	$123.03	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $263.03 / $426.58	Facility		$138.04	$263.03	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $194.98 / $363.08	Professional		$89.13	$194.98	$363.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $223.87 / $316.23	Facility		$83.18	$223.87	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $302.00	Professional		$109.65	$218.78	$302.00
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 $162.18 / $213.80 / $223.87	Facility		$162.18	$213.80	$223.87
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 $147.91 / $218.78 / $302.00	Professional		$147.91	$218.78	$302.00
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 $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07