Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,818.38 / $18,620.87	Facility		$512.86	$2,818.38	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $891.25	Professional		$245.47	$407.38	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $1,000.00	Professional		$281.84	$281.84	$1,000.00
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 $288.40 / $549.54 / $1,148.15	Professional		$288.40	$549.54	$1,148.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $588.84 / $2,884.03	Facility		$323.59	$588.84	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,659.59	Professional		$323.59	$575.44	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $812.83	Facility		$562.34	$794.33	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $977.24	Facility		$549.54	$549.54	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $1,000.00	Professional		$380.19	$660.69	$1,000.00
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 $363.08 / $575.44 / $954.99	Professional		$363.08	$575.44	$954.99
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 $323.59 / $524.81 / $977.24	Professional		$323.59	$524.81	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $575.44	Professional		$257.04	$407.38	$575.44