Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,290.87 / $9,772.37	Facility		$269.15	$2,290.87	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $602.56	Professional		$91.20	$199.53	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $186.21 / $269.15	Professional		$74.13	$186.21	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $724.44	Facility		$194.98	$295.12	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $512.86	Professional		$181.97	$281.84	$512.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $323.59 / $537.03	Facility		$190.55	$323.59	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $489.78	Professional		$199.53	$323.59	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $346.74 / $398.11	Facility		$194.98	$346.74	$398.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $269.15 / $275.42	Facility		$154.88	$269.15	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $501.19	Professional		$208.93	$354.81	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,801.89	Facility		$1,445.44	$1,995.26	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $416.87	Professional		$199.53	$295.12	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,454.71 / $4,786.30	Facility		$676.08	$2,454.71	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $512.86	Professional		$177.83	$251.19	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $288.40	Professional		$138.04	$204.17	$288.40