Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,818.38 / $18,620.87	Facility		$831.76	$2,818.38	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,584.89	Professional		$407.38	$616.60	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
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 $467.74 / $851.14 / $1,778.28	Professional		$467.74	$851.14	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $891.25 / $2,884.03	Facility		$512.86	$891.25	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,905.46	Professional		$512.86	$891.25	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,202.26	Facility		$831.76	$1,174.90	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $831.76 / $977.24	Facility		$812.83	$831.76	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $1,513.56	Professional		$616.60	$1,071.52	$1,513.56
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 / $1,445.44	Professional		$588.84	$933.25	$1,445.44
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 / $776.25 / $1,513.56	Professional		$524.81	$776.25	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $891.25	Professional		$426.58	$630.96	$891.25