Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,737.80 / $17,782.79	Facility		$630.96	$1,737.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $1,230.27	Professional		$281.84	$489.78	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $537.03	Professional		$229.09	$251.19	$537.03
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 $416.87 / $691.83 / $1,258.93	Professional		$416.87	$691.83	$1,258.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,288.25	Facility		$501.19	$794.33	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,230.27	Professional		$501.19	$794.33	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $1,000.00	Facility		$645.65	$954.99	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $676.08 / $676.08	Facility		$354.81	$676.08	$676.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,230.27	Professional		$457.09	$812.83	$1,230.27
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 $457.09 / $691.83 / $1,023.29	Professional		$457.09	$691.83	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,570.40 / $5,754.40	Facility		$501.19	$2,570.40	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,258.93	Professional		$436.52	$660.69	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $707.95	Professional		$281.84	$501.19	$707.95