Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,047.13 / $17,782.79	Facility		$363.08	$1,047.13	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $398.11 / $1,230.27	Professional		$162.18	$398.11	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $724.44	Professional		$489.78	$489.78	$724.44
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 $223.87 / $467.74 / $1,047.13	Professional		$223.87	$467.74	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $457.09 / $1,000.00	Facility		$263.03	$457.09	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $1,000.00	Professional		$281.84	$467.74	$1,000.00
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 $512.86 / $724.44 / $794.33	Facility		$512.86	$724.44	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $549.54	Facility		$524.81	$524.81	$549.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $512.86 / $977.24	Professional		$239.88	$512.86	$977.24
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 $234.42 / $457.09 / $794.33	Professional		$234.42	$457.09	$794.33
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 $223.87 / $457.09 / $954.99	Professional		$223.87	$457.09	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $562.34	Professional		$141.25	$269.15	$562.34