Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $316.23 / $9,772.37	Facility		$70.79	$316.23	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $102.33 / $309.03	Professional		$34.67	$102.33	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $208.93	Professional		$75.86	$112.20	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $1,122.02	Facility		$112.20	$169.82	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $112.20 / $263.03	Professional		$46.77	$112.20	$263.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $125.89 / $275.42	Facility		$60.26	$125.89	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $251.19	Professional		$60.26	$120.23	$251.19
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 $107.15 / $162.18 / $204.17	Facility		$107.15	$162.18	$204.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $138.04	Facility		$93.33	$138.04	$138.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $125.89 / $257.04	Professional		$51.29	$125.89	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $562.34 / $1,096.48	Facility		$416.87	$562.34	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $117.49 / $208.93	Professional		$51.29	$117.49	$208.93
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 $50.12 / $109.65 / $245.47	Professional		$50.12	$109.65	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $141.25	Professional		$30.20	$57.54	$141.25