Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $54.95	Professional		$48.98	$50.12	$54.95
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 $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $134.90 / $257.04	Facility		$87.10	$134.90	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $316.23	Facility		$131.83	$177.83	$316.23