Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,495.41 / $11,481.54	Facility		$758.58	$5,495.41	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $645.65 / $2,238.72	Professional		$338.84	$645.65	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $602.56	Professional		$512.86	$512.86	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $1,659.59	Facility		$630.96	$676.08	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $707.95 / $1,548.82	Professional		$363.08	$707.95	$1,548.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $724.44 / $1,445.44	Facility		$407.38	$724.44	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,380.38	Professional		$407.38	$707.95	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,122.02	Facility		$691.83	$977.24	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,380.38	Professional		$478.63	$851.14	$1,380.38
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 $457.09 / $758.58 / $1,318.26	Professional		$457.09	$758.58	$1,318.26
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 $407.38 / $691.83 / $1,318.26	Professional		$407.38	$691.83	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $851.14	Professional		$323.59	$602.56	$851.14