Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $3,630.78 / $16,982.44	Facility		$151.36	$3,630.78	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $218.78 / $724.44	Professional		$63.10	$218.78	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $281.84	Professional		$46.77	$46.77	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $1,548.82	Facility		$630.96	$676.08	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $457.09	Professional		$100.00	$229.09	$457.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $338.84 / $1,202.26	Facility		$144.54	$338.84	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $323.59 / $776.25	Professional		$141.25	$323.59	$776.25
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 $251.19 / $309.03 / $524.81	Facility		$251.19	$309.03	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $380.19	Facility		$204.17	$208.93	$380.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $208.93 / $389.05	Professional		$85.11	$208.93	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $8,317.64	Facility		$3,162.28	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $208.93 / $416.87	Professional		$83.18	$208.93	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $8,912.51	Facility		$1,122.02	$5,370.32	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $478.63	Professional		$151.36	$275.42	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $234.42	Professional		$53.70	$102.33	$234.42