Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,677.35 / $18,620.87	Facility		$616.60	$4,677.35	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $1,548.82	Professional		$295.12	$489.78	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $323.59	Professional		$162.18	$162.18	$323.59
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 $346.74 / $645.65 / $1,380.38	Professional		$346.74	$645.65	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $691.83 / $2,884.03	Facility		$371.54	$691.83	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $1,659.59	Professional		$371.54	$676.08	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $977.24	Facility		$645.65	$933.25	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $977.24	Facility		$645.65	$660.69	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,202.26	Professional		$457.09	$794.33	$1,202.26
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 $436.52 / $691.83 / $1,148.15	Professional		$436.52	$691.83	$1,148.15
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 $389.05 / $602.56 / $1,202.26	Professional		$389.05	$602.56	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $724.44	Professional		$316.23	$512.86	$724.44