Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $281.84 / $17,782.79	Facility		$95.50	$281.84	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $120.23 / $512.86	Professional		$46.77	$120.23	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $257.04	Professional		$91.20	$204.17	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $141.25 / $316.23	Professional		$63.10	$141.25	$316.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $154.88 / $331.13	Facility		$75.86	$154.88	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $309.03	Professional		$81.28	$141.25	$309.03
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 $109.65 / $218.78 / $245.47	Facility		$109.65	$218.78	$245.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $309.03	Professional		$69.18	$154.88	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $1,096.48	Facility		$371.54	$562.34	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $141.25 / $251.19	Professional		$69.18	$141.25	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,862.09	Facility		$501.19	$741.31	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $302.00	Professional		$64.57	$131.83	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $169.82	Professional		$41.69	$79.43	$169.82