Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,365.16 / $16,218.10	Facility		$1,047.13	$4,365.16	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $2,818.38	Professional		$616.60	$870.96	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $1,412.54	Professional		$758.58	$1,348.96	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,344.23	Facility		$645.65	$1,122.02	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $2,187.76	Professional		$794.33	$1,174.90	$2,187.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,951.21	Facility		$954.99	$1,548.82	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,137.96	Professional		$977.24	$1,479.11	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,548.82	Facility		$1,096.48	$1,479.11	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,047.13	Facility		$1,023.29	$1,023.29	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $1,995.26	Professional		$912.01	$1,513.56	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $10,000.00	Facility		$3,548.13	$5,128.61	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,778.28	Professional		$891.25	$1,288.25	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,918.31 / $11,748.98	Facility		$1,047.13	$6,918.31	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,995.26	Professional		$794.33	$1,047.13	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,122.02	Professional		$575.44	$794.33	$1,122.02