Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $234.42 / $7,943.28	Facility		$70.79	$234.42	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $204.17	Professional		$51.29	$77.62	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $147.91	Professional		$61.66	$104.71	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $186.21	Professional		$67.61	$102.33	$186.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $186.21	Facility		$79.43	$123.03	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $169.82	Professional		$79.43	$123.03	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $125.89 / $138.04	Facility		$89.13	$125.89	$138.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $93.33	Facility		$89.13	$89.13	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $169.82	Professional		$75.86	$125.89	$169.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $1,096.48	Facility		$371.54	$562.34	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $147.91	Professional		$74.13	$104.71	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,862.09	Facility		$501.19	$741.31	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $173.78	Professional		$66.07	$89.13	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $97.72	Professional		$48.98	$69.18	$97.72