Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $346.74 / $371.54	Professional		$52.48	$346.74	$371.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $81.28 / $478.63	Facility		$26.92	$81.28	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $69.18 / $69.18	Facility		$27.54	$69.18	$69.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $97.72	Facility		$63.10	$63.10	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $138.04 / $190.55	Facility		$125.89	$138.04	$190.55