Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,348.96 / $17,782.79	Facility		$602.56	$1,348.96	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $1,778.28	Professional		$309.03	$537.03	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $1,071.52	Professional		$426.58	$478.63	$1,071.52
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 $338.84 / $676.08 / $1,479.11	Professional		$338.84	$676.08	$1,479.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $1,412.54	Facility		$389.05	$691.83	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $1,318.26	Professional		$389.05	$676.08	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $912.01 / $1,047.13	Facility		$549.54	$912.01	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,318.26	Professional		$457.09	$812.83	$1,318.26
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 $436.52 / $724.44 / $1,230.27	Professional		$436.52	$724.44	$1,230.27
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 / $630.96 / $1,202.26	Professional		$389.05	$630.96	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $794.33	Professional		$309.03	$562.34	$794.33