Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,122.02 / $14,454.40	Facility		$331.13	$1,122.02	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $645.65	Professional		$117.49	$213.80	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $251.19	Professional		$112.20	$165.96	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $724.44	Facility		$245.47	$371.54	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $630.96	Professional		$204.17	$338.84	$630.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $676.08	Facility		$234.42	$380.19	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $616.60	Professional		$234.42	$380.19	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $467.74 / $489.78	Facility		$295.12	$467.74	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $331.13 / $338.84	Facility		$194.98	$331.13	$338.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $616.60	Professional		$218.78	$398.11	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,137.96	Facility		$831.76	$1,122.02	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $512.86	Professional		$218.78	$338.84	$512.86
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 $199.53 / $316.23 / $616.60	Professional		$199.53	$316.23	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $346.74	Professional		$138.04	$245.47	$346.74