Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $977.24 / $17,782.79	Facility		$363.08	$977.24	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $616.60	Professional		$151.36	$251.19	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $295.12	Professional		$151.36	$151.36	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $389.05 / $724.44	Facility		$257.04	$389.05	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $691.83	Professional		$234.42	$380.19	$691.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $724.44	Facility		$251.19	$416.87	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $676.08	Professional		$251.19	$416.87	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $512.86 / $537.03	Facility		$346.74	$512.86	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $363.08 / $371.54	Facility		$204.17	$363.08	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $676.08	Professional		$251.19	$446.68	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,801.89	Facility		$1,348.96	$1,995.26	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $562.34	Professional		$245.47	$371.54	$562.34
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 $229.09 / $346.74 / $676.08	Professional		$229.09	$346.74	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $389.05	Professional		$154.88	$275.42	$389.05