Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,981.07 / $10,715.19	Facility		$588.84	$3,981.07	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $1,348.96	Professional		$281.84	$436.52	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $691.83	Professional		$562.34	$602.56	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $1,659.59	Facility		$562.34	$912.01	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,148.15	Professional		$398.11	$630.96	$1,148.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $776.25 / $1,905.46	Facility		$467.74	$776.25	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,258.93	Professional		$467.74	$758.58	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $912.01	Facility		$616.60	$851.14	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $616.60	Facility		$602.56	$602.56	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,122.02	Professional		$436.52	$758.58	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $8,709.64	Facility		$3,235.94	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $954.99	Professional		$426.58	$616.60	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $9,332.54	Facility		$1,047.13	$5,754.40	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,148.15	Professional		$389.05	$575.44	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $660.69	Professional		$275.42	$478.63	$660.69