Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,548.13 / $13,803.84	Facility		$524.81	$3,548.13	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $977.24	Professional		$251.19	$398.11	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,995.26	Facility		$630.96	$758.58	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $537.03 / $1,096.48	Professional		$281.84	$537.03	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $562.34 / $1,380.38	Facility		$316.23	$562.34	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $1,047.13	Professional		$316.23	$562.34	$1,047.13
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 $537.03 / $741.31 / $776.25	Facility		$537.03	$741.31	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $524.81	Facility		$512.86	$512.86	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $954.99	Professional		$380.19	$645.65	$954.99
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 $354.81 / $562.34 / $912.01	Professional		$354.81	$562.34	$912.01
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 $323.59 / $489.78 / $933.25	Professional		$323.59	$489.78	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $549.54	Professional		$251.19	$389.05	$549.54