Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,047.13 / $1,778.28	Facility		$371.54	$1,047.13	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,071.52 / $1,071.52	Facility		$426.58	$1,071.52	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,513.56	Facility		$977.24	$977.24	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $2,137.96	Facility		$1,412.54	$1,548.82	$2,137.96