Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $870.96 / $12,589.25	Facility		$134.90	$870.96	$12,589.25
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility	AS	$13,489.63	$13,489.63	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $181.97 / $630.96	Professional		$89.13	$181.97	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $213.80	Professional		$83.18	$147.91	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $309.03	Professional		$100.00	$177.83	$309.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $208.93 / $371.54	Facility		$138.04	$208.93	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $316.23	Professional		$134.90	$204.17	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $218.78 / $302.00	Facility		$181.97	$218.78	$302.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $281.84	Professional		$100.00	$181.97	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Facility		$776.25	$1,122.02	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $234.42	Professional		$102.33	$154.88	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,659.59 / $3,548.13	Facility		$501.19	$1,659.59	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $288.40	Professional		$97.72	$158.49	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $117.49 / $165.96	Professional		$63.10	$117.49	$165.96