Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $8,912.51	Facility		$229.09	$1,202.26	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $812.83	Professional		$120.23	$234.42	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $338.84	Professional		$158.49	$204.17	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $234.42 / $724.44	Facility		$154.88	$234.42	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $426.58	Professional		$128.82	$229.09	$426.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $251.19 / $426.58	Facility		$154.88	$251.19	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $389.05	Professional		$154.88	$245.47	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $346.74	Facility		$208.93	$295.12	$346.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $213.80 / $218.78	Facility		$123.03	$213.80	$218.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $398.11	Professional		$141.25	$251.19	$398.11
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 $138.04 / $218.78 / $323.59	Professional		$138.04	$218.78	$323.59
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 $131.83 / $229.09 / $398.11	Professional		$131.83	$229.09	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $229.09	Professional		$95.50	$162.18	$229.09