Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,905.46 / $13,803.84	Facility		$354.81	$1,905.46	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $977.24	Professional		$194.98	$263.03	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $354.81	Professional		$134.90	$269.15	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $707.95 / $870.96	Facility		$302.00	$707.95	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $707.95	Professional		$213.80	$371.54	$707.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $316.23 / $588.84	Facility		$208.93	$316.23	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $562.34	Professional		$208.93	$323.59	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $446.68 / $478.63	Facility		$323.59	$446.68	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $309.03 / $323.59	Facility		$275.42	$309.03	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $616.60	Professional		$295.12	$467.74	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $8,709.64	Facility		$3,467.37	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $562.34	Professional		$281.84	$416.87	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,623.41 / $10,964.78	Facility		$1,995.26	$5,623.41	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $616.60	Professional		$234.42	$331.13	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $380.19	Professional		$204.17	$275.42	$380.19