Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,778.28 / $13,489.63	Facility		$562.34	$1,778.28	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $512.86 / $1,659.59	Professional		$257.04	$512.86	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $1,023.29	Professional		$295.12	$489.78	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $1,122.02	Facility		$512.86	$645.65	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,258.93	Professional		$380.19	$645.65	$1,258.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $1,230.27	Facility		$416.87	$707.95	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,174.90	Professional		$416.87	$707.95	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $954.99	Facility		$602.56	$912.01	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $630.96 / $645.65	Facility		$354.81	$630.96	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,174.90	Professional		$407.38	$741.31	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,388.44	Facility		$1,202.26	$1,778.28	$3,388.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $977.24	Professional		$407.38	$645.65	$977.24
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 $389.05 / $630.96 / $1,174.90	Professional		$389.05	$630.96	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $676.08	Professional		$251.19	$478.63	$676.08