Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,096.48 / $1,905.46	Facility		$512.86	$1,096.48	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,737.80 / $3,090.30	Facility		$389.05	$1,737.80	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
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 $389.05 / $1,000.00 / $1,862.09	Facility		$389.05	$1,000.00	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,238.72	Facility		$812.83	$1,148.15	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,691.53	Facility		$1,122.02	$1,513.56	$2,691.53