Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,023.29 / $6,456.54	Facility		$363.08	$1,023.29	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $1,096.48	Professional		$169.82	$331.13	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $346.74 / $630.96	Professional		$151.36	$346.74	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $478.63	Facility		$316.23	$316.23	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $794.33	Professional		$239.88	$416.87	$794.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $467.74 / $794.33	Facility		$281.84	$467.74	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $758.58	Professional		$281.84	$467.74	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $616.60	Facility		$346.74	$575.44	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $407.38 / $416.87	Facility		$229.09	$407.38	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $758.58	Professional		$263.03	$467.74	$758.58
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 $257.04 / $416.87 / $616.60	Professional		$257.04	$416.87	$616.60
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 $239.88 / $389.05 / $758.58	Professional		$239.88	$389.05	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $436.52	Professional		$169.82	$309.03	$436.52