Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $10,232.93 / $28,183.83	Facility		$660.69	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,380.38	Professional		$660.69	$660.69	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $6,456.54	Facility		$1,023.29	$3,801.89	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,548.82	Professional		$954.99	$1,380.38	$1,548.82
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 $1,000.00 / $3,715.35 / $3,715.35	Facility		$1,000.00	$3,715.35	$3,715.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $8,317.64	Facility		$2,884.03	$4,365.16	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $9,332.54	Facility		$1,698.24	$5,754.40	$9,332.54