Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $6,918.31 / $13,489.63	Facility		$446.68	$6,918.31	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $724.44 / $3,467.37	Professional		$158.49	$724.44	$3,467.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,659.59	Facility		$1,000.00	$1,000.00	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $575.44 / $2,290.87	Professional		$275.42	$575.44	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,318.26 / $2,570.40	Facility		$288.40	$1,318.26	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,071.52 / $2,137.96	Professional		$302.00	$1,071.52	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,949.84	Facility		$1,202.26	$1,445.44	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,071.52	Facility		$1,047.13	$1,047.13	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $616.60 / $2,041.74	Professional		$245.47	$616.60	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,709.64	Facility		$3,090.30	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $676.08 / $1,949.84	Professional		$269.15	$676.08	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,165.95 / $9,772.37	Facility		$1,698.24	$6,165.95	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $724.44 / $2,187.76	Professional		$245.47	$724.44	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $1,047.13	Professional		$151.36	$288.40	$1,047.13