Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $7,762.47 / $17,782.79	Facility		$794.33	$7,762.47	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $1,949.84	Professional		$389.05	$616.60	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $660.69 / $758.58	Professional		$645.65	$660.69	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,659.59 / $1,995.26	Facility		$707.95	$1,659.59	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,288.25	Professional		$416.87	$691.83	$1,288.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $851.14 / $1,905.46	Facility		$446.68	$851.14	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $812.83 / $1,318.26	Professional		$446.68	$812.83	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $851.14	Facility		$660.69	$812.83	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $588.84	Facility		$562.34	$562.34	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,230.27	Professional		$588.84	$912.01	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $8,709.64	Facility		$3,548.13	$4,677.35	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,071.52	Professional		$575.44	$794.33	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,754.40 / $11,220.18	Facility		$1,995.26	$5,754.40	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,148.15	Professional		$426.58	$630.96	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $776.25	Professional		$407.38	$467.74	$776.25