Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,073.80 / $7,079.46	Facility		$323.59	$4,073.80	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $3,162.28	Professional		$316.23	$316.23	$3,162.28
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 $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,311.31 / $5,370.32	Facility		$977.24	$3,311.31	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,311.31 / $3,311.31	Facility		$1,318.26	$3,311.31	$3,311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,897.79 / $6,760.83	Facility		$4,466.84	$4,897.79	$6,760.83