Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,290.87 / $10,232.93	Facility		$275.42	$2,290.87	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $354.81 / $1,096.48	Professional		$138.04	$354.81	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,995.26	Facility		$467.74	$562.34	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $407.38 / $977.24	Professional		$169.82	$407.38	$977.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $457.09 / $1,348.96	Facility		$181.97	$457.09	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $436.52 / $1,000.00	Professional		$181.97	$436.52	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $691.83 / $724.44	Facility		$489.78	$691.83	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $467.74 / $891.25	Professional		$208.93	$467.74	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $8,709.64	Facility		$3,235.94	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $851.14	Professional		$194.98	$407.38	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,754.40 / $9,332.54	Facility		$1,122.02	$5,754.40	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $831.76	Professional		$181.97	$398.11	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $537.03	Professional		$141.25	$269.15	$537.03