Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,000.00 / $17,782.79	Facility		$354.81	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $501.19 / $2,290.87	Professional		$181.97	$501.19	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $776.25	Professional		$245.47	$380.19	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $724.44	Facility		$416.87	$416.87	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $501.19 / $1,071.52	Professional		$239.88	$501.19	$1,071.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $478.63 / $1,047.13	Facility		$281.84	$478.63	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $1,047.13	Professional		$302.00	$512.86	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $831.76	Facility		$537.03	$758.58	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $562.34	Facility		$549.54	$549.54	$562.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $549.54 / $1,023.29	Professional		$257.04	$549.54	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,071.52	Facility		$851.14	$851.14	$1,071.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $831.76	Professional		$257.04	$478.63	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $645.65 / $5,754.40	Facility		$141.25	$645.65	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $1,000.00	Professional		$245.47	$489.78	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $588.84	Professional		$154.88	$295.12	$588.84