Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $6,760.83 / $17,782.79	Facility		$478.63	$6,760.83	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $1,995.26	Professional		$316.23	$549.54	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $1,380.38	Professional		$162.18	$346.74	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $2,398.83	Facility		$707.95	$870.96	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,096.48	Professional		$338.84	$575.44	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $707.95 / $2,041.74	Facility		$363.08	$707.95	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $1,548.82	Professional		$346.74	$676.08	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $707.95	Facility		$512.86	$645.65	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $489.78 / $537.03	Facility		$467.74	$489.78	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,023.29	Professional		$489.78	$758.58	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $8,709.64	Facility		$3,467.37	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $891.25	Professional		$478.63	$676.08	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,623.41 / $10,964.78	Facility		$1,995.26	$5,623.41	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $933.25	Professional		$338.84	$512.86	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $660.69	Professional		$346.74	$398.11	$660.69