Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $954.99 / $7,943.28	Facility		$87.10	$954.99	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	50	$2,238.72	$2,238.72	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $331.13	Professional		$51.29	$109.65	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $218.78	Professional		$58.88	$114.82	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $912.01	Facility		$331.13	$512.86	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $338.84	Professional		$77.62	$154.88	$338.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $575.44	Facility		$93.33	$177.83	$575.44
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $691.83 / $1,659.59 / $2,951.21	Facility	50	$691.83	$1,659.59	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $371.54	Professional		$95.50	$169.82	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $251.19 / $346.74	Facility		$123.03	$251.19	$346.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $177.83	Facility		$173.78	$173.78	$177.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $177.83 / $323.59	Professional		$83.18	$177.83	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Facility		$776.25	$1,122.02	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $263.03	Professional		$81.28	$154.88	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,513.56 / $3,235.94	Facility		$501.19	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $316.23	Professional		$72.44	$141.25	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $194.98	Professional		$56.23	$107.15	$194.98