Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,762.47 / $20,892.96	Facility		$2,290.87	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,235.94	Professional		$1,096.48	$1,412.54	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
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 $1,174.90 / $1,995.26 / $3,715.35	Professional		$1,174.90	$1,995.26	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $3,311.31	Facility		$1,148.15	$1,737.80	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $3,019.95	Professional		$1,148.15	$1,737.80	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,454.71	Facility		$1,862.09	$2,344.23	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,698.24	Facility		$1,584.89	$1,584.89	$1,698.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $3,548.13	Professional		$1,698.24	$2,630.27	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $8,709.64	Facility		$3,467.37	$4,677.35	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,162.28	Professional		$1,621.81	$2,290.87	$3,162.28
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 $1,230.27 / $1,778.28 / $3,311.31	Professional		$1,230.27	$1,778.28	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,137.96	Professional		$1,122.02	$1,288.25	$2,137.96