Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $831.76 / $10,232.93	Facility		$83.18	$831.76	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $81.28 / $229.09	Professional		$39.81	$81.28	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $125.89	Professional		$64.57	$93.33	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $467.74 / $562.34	Facility		$89.13	$467.74	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $181.97	Professional		$47.86	$85.11	$181.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $81.28 / $162.18	Facility		$47.86	$81.28	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $144.54	Professional		$47.86	$81.28	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $42.66	Professional		$32.36	$33.11	$42.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $131.83	Facility		$83.18	$117.49	$131.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $89.13	Facility		$83.18	$85.11	$89.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $162.18	Professional		$58.88	$102.33	$162.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $831.76 / $1,621.81	Facility		$562.34	$831.76	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $147.91	Professional		$56.23	$89.13	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,071.52 / $2,454.71	Facility		$416.87	$1,071.52	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $151.36	Professional		$51.29	$79.43	$151.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $97.72	Professional		$37.15	$69.18	$97.72