Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,801.89 / $16,982.44	Facility		$645.65	$3,801.89	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,905.46	Professional		$323.59	$602.56	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $588.84 / $1,047.13	Professional		$158.49	$588.84	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,995.26	Facility		$630.96	$758.58	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $1,513.56	Professional		$354.81	$676.08	$1,513.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $1,412.54	Facility		$389.05	$707.95	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $1,348.96	Professional		$389.05	$691.83	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $1,071.52	Facility		$660.69	$933.25	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $741.31	Facility		$724.44	$724.44	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $1,348.96	Professional		$467.74	$831.76	$1,348.96
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 $457.09 / $741.31 / $1,258.93	Professional		$457.09	$741.31	$1,258.93
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 $389.05 / $645.65 / $1,230.27	Professional		$389.05	$645.65	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $831.76	Professional		$323.59	$588.84	$831.76