Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $724.44 / $18,620.87	Facility		$407.38	$724.44	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $812.83	Professional		$257.04	$354.81	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
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 $275.42 / $501.19 / $977.24	Professional		$275.42	$501.19	$977.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $416.87 / $776.25	Facility		$245.47	$416.87	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $776.25	Professional		$245.47	$426.58	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $575.44 / $645.65	Facility		$416.87	$575.44	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $416.87 / $446.68	Facility		$234.42	$416.87	$446.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $851.14	Professional		$407.38	$645.65	$851.14
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 $398.11 / $575.44 / $776.25	Professional		$398.11	$575.44	$776.25
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 $316.23 / $426.58 / $812.83	Professional		$316.23	$426.58	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $575.44	Professional		$302.00	$407.38	$575.44