Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,630.27 / $8,511.38	Facility		$562.34	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $245.47 / $549.54	Professional		$56.23	$245.47	$549.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $398.11 / $676.08	Facility		$141.25	$398.11	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $50.12	Professional		$33.11	$50.12	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $380.19 / $380.19	Facility		$56.23	$380.19	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $851.14	Facility		$302.00	$446.68	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $501.19 / $1,862.09	Facility		$363.08	$501.19	$1,862.09