Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,818.38 / $7,943.28	Facility		$208.93	$2,818.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $302.00 / $1,862.09	Professional		$74.13	$302.00	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $1,148.15	Professional		$128.82	$158.49	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $275.42 / $1,096.48	Professional		$131.83	$275.42	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $575.44 / $1,318.26	Facility		$131.83	$575.44	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $1,096.48	Professional		$134.90	$257.04	$1,096.48
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 $588.84 / $691.83 / $977.24	Facility		$588.84	$691.83	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Facility		$501.19	$501.19	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $295.12 / $1,000.00	Professional		$117.49	$295.12	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,801.89	Facility		$1,348.96	$1,995.26	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $933.25	Professional		$125.89	$275.42	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,630.27 / $4,897.79	Facility		$933.25	$2,630.27	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $346.74 / $1,047.13	Professional		$112.20	$346.74	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $512.86	Professional		$72.44	$134.90	$512.86