Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $12,589.25 / $20,417.38	Facility		$954.99	$12,589.25	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $4,786.30 / $12,022.64	Professional		$457.09	$4,786.30	$12,022.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $10,000.00	Facility		$707.95	$870.96	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,905.46 / $16,595.87	Professional		$549.54	$1,905.46	$16,595.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $6,456.54 / $15,488.17	Facility		$549.54	$6,456.54	$15,488.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $6,025.60 / $14,791.08	Professional		$549.54	$6,025.60	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $10,471.29 / $13,489.63	Facility		$8,709.64	$10,471.29	$13,489.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $8,128.31	Facility		$6,456.54	$7,585.78	$8,128.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,584.89 / $14,454.40	Professional		$676.08	$1,584.89	$14,454.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $38,904.51	Facility		$14,791.08	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $3,467.37 / $13,182.57	Professional		$645.65	$3,467.37	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $5,754.40 / $14,791.08	Professional		$602.56	$5,754.40	$14,791.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $794.33 / $8,511.38	Professional		$426.58	$794.33	$8,511.38