Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,290.87 / $17,782.79	Facility		$398.11	$2,290.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $676.08	Professional		$177.83	$275.42	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $562.34	Professional		$112.20	$112.20	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $416.87 / $645.65	Facility		$269.15	$416.87	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $758.58	Professional		$263.03	$416.87	$758.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $467.74 / $831.76	Facility		$288.40	$467.74	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $741.31	Professional		$288.40	$467.74	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $575.44 / $602.56	Facility		$354.81	$575.44	$602.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $407.38	Facility		$213.80	$398.11	$407.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $741.31	Professional		$288.40	$512.86	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,709.64	Facility		$3,090.30	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $630.96	Professional		$281.84	$407.38	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,128.61 / $9,332.54	Facility		$676.08	$5,128.61	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $758.58	Professional		$257.04	$380.19	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $426.58	Professional		$177.83	$302.00	$426.58