Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $776.25 / $7,943.28	Facility		$457.09	$776.25	$7,943.28
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	54	$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $954.99	Professional		$269.15	$457.09	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $691.83 / $812.83	Professional	50	$691.83	$691.83	$812.83
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $239.88 / $457.09 / $831.76	Professional	54	$239.88	$457.09	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $831.76	Professional		$331.13	$562.34	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Facility		$302.00	$302.00	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $1,096.48	Professional		$295.12	$562.34	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $870.96	Facility		$245.47	$446.68	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $851.14	Professional		$251.19	$467.74	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $630.96 / $707.95	Facility		$446.68	$630.96	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $489.78	Facility		$234.42	$457.09	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $977.24	Professional		$467.74	$724.44	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $1,288.25	Facility		$436.52	$660.69	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $870.96	Professional		$446.68	$645.65	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $1,949.84	Facility		$416.87	$912.01	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $912.01	Professional		$331.13	$478.63	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $660.69	Professional		$354.81	$457.09	$660.69