Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $18,620.87	Facility		$933.25	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $2,137.96	Professional		$436.52	$630.96	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $3,715.35	Facility		$630.96	$676.08	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,513.56	Professional		$467.74	$812.83	$1,513.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $3,890.45	Facility		$512.86	$1,000.00	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $954.99 / $2,818.38	Professional		$467.74	$954.99	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,000.00	Facility		$691.83	$912.01	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $676.08 / $977.24	Facility		$645.65	$676.08	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,445.44	Professional		$676.08	$1,047.13	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,258.93	Professional		$660.69	$933.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $18,620.87	Facility		$1,995.26	$10,471.29	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,318.26	Professional		$478.63	$707.95	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $912.01	Professional		$478.63	$549.54	$912.01