Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,818.38 / $17,782.79	Facility		$630.96	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,380.38	Professional		$323.59	$478.63	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $977.24	Professional		$537.03	$537.03	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,659.59	Facility		$1,000.00	$1,000.00	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $812.83 / $1,318.26	Professional		$446.68	$812.83	$1,318.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $831.76 / $1,905.46	Facility		$478.63	$831.76	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,288.25	Professional		$478.63	$831.76	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $954.99	Facility		$645.65	$891.25	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $1,230.27	Professional		$467.74	$831.76	$1,230.27
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 $501.19 / $758.58 / $1,122.02	Professional		$501.19	$758.58	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,165.95 / $9,772.37	Facility		$1,698.24	$6,165.95	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,230.27	Professional		$426.58	$630.96	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $741.31	Professional		$331.13	$524.81	$741.31