Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,023.29 / $1,905.46	Facility		$389.05	$1,023.29	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $436.52	Professional		$316.23	$316.23	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,096.48 / $2,137.96	Facility		$380.19	$1,096.48	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $208.93	Facility		$138.04	$194.98	$208.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,089.30	Facility		$831.76	$1,122.02	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,398.83	Facility		$977.24	$1,318.26	$2,398.83