Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $173.78	Facility		$104.71	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $302.00	Professional		$104.71	$104.71	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $549.54 / $851.14	Facility		$151.36	$549.54	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $380.19 / $380.19	Facility		$151.36	$380.19	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $446.68 / $851.14	Facility		$323.59	$446.68	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $1,148.15	Facility		$478.63	$645.65	$1,148.15