Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,162.28 / $18,620.87	Facility		$524.81	$3,162.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $1,000.00	Professional		$257.04	$436.52	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $2,398.83	Facility		$707.95	$870.96	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $1,202.26	Professional		$295.12	$562.34	$1,202.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $602.56 / $1,513.56	Facility		$331.13	$602.56	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $1,148.15	Professional		$331.13	$588.84	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $851.14	Facility		$562.34	$812.83	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $575.44	Facility		$562.34	$562.34	$575.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $1,047.13	Professional		$389.05	$676.08	$1,047.13
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 $363.08 / $588.84 / $1,000.00	Professional		$363.08	$588.84	$1,000.00
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 $331.13 / $537.03 / $1,000.00	Professional		$331.13	$537.03	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $616.60	Professional		$263.03	$436.52	$616.60