Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,760.83 / $20,892.96	Facility		$1,905.46	$6,760.83	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $7,413.10	Professional		$1,202.26	$1,862.09	$7,413.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $4,677.35	Facility		$645.65	$1,122.02	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $4,466.84	Professional		$1,698.24	$2,344.23	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $9,549.93	Facility		$1,862.09	$3,162.28	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $4,168.69	Professional		$1,862.09	$3,019.95	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $3,019.95	Facility		$2,089.30	$2,884.03	$3,019.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,041.74	Facility		$1,995.26	$1,995.26	$2,041.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,311.31 / $4,365.16	Professional		$2,041.74	$3,311.31	$4,365.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,232.93 / $19,498.45	Facility		$6,760.83	$10,232.93	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $3,801.89	Professional		$1,737.80	$2,754.23	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,022.64 / $20,417.38	Facility		$2,137.96	$12,022.64	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $4,168.69	Professional		$1,584.89	$2,041.74	$4,168.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,630.27	Professional		$1,380.38	$1,584.89	$2,630.27