Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $12,882.50 / $33,884.42	Facility		$4,677.35	$12,882.50	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $19,054.61	Professional		$933.25	$933.25	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $19,498.45 / $37,153.52	Facility		$18,620.87	$19,498.45	$37,153.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $75,857.76 / $134,896.29	Facility		$16,218.10	$75,857.76	$134,896.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $26,302.68 / $42,657.95	Facility		$14,791.08	$26,302.68	$42,657.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35,481.34 / $50,118.72 / $95,499.26	Facility		$35,481.34	$50,118.72	$95,499.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $64,565.42 / $109,647.82	Facility		$8,511.38	$64,565.42	$109,647.82