Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $512.86 / $17,782.79	Facility		$91.20	$512.86	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $83.18 / $263.03	Professional		$42.66	$83.18	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $141.25 / $151.36	Professional		$54.95	$141.25	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $181.97	Professional		$57.54	$95.50	$181.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $109.65 / $194.98	Facility		$67.61	$109.65	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $177.83	Professional		$67.61	$107.15	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $131.83 / $141.25	Facility		$89.13	$131.83	$141.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $173.78	Professional		$61.66	$112.20	$173.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $1,096.48	Facility		$371.54	$562.34	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $144.54	Professional		$61.66	$95.50	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,862.09	Facility		$501.19	$741.31	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $173.78	Professional		$58.88	$89.13	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $69.18 / $100.00	Professional		$36.31	$69.18	$100.00