Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $758.58 / $2,041.74	Facility		$295.12	$758.58	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $371.54	Professional		$263.03	$295.12	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $776.25 / $1,202.26	Facility		$263.03	$776.25	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $100.00	Professional		$32.36	$50.12	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $645.65 / $645.65	Facility		$251.19	$645.65	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $1,445.44	Facility		$575.44	$758.58	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,778.28	Facility		$741.31	$977.24	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $239.88	Professional		$144.54	$199.53	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $467.74	Professional		$117.49	$117.49	$467.74