Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,737.80 / $14,791.08	Facility		$588.84	$1,737.80	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $2,344.23	Professional		$426.58	$676.08	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $2,630.27	Professional		$426.58	$426.58	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,698.24	Professional		$489.78	$831.76	$1,698.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $2,884.03	Facility		$524.81	$912.01	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,862.09	Professional		$524.81	$891.25	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,202.26	Facility		$851.14	$1,148.15	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $812.83 / $977.24	Facility		$794.33	$812.83	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $1,479.11	Professional		$630.96	$1,071.52	$1,479.11
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 $588.84 / $933.25 / $1,412.54	Professional		$588.84	$933.25	$1,412.54
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 $524.81 / $794.33 / $1,513.56	Professional		$524.81	$794.33	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $870.96	Professional		$426.58	$616.60	$870.96