Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $11,220.18 / $35,481.34	Facility		$1,148.15	$11,220.18	$35,481.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $3,311.31	Professional		$549.54	$1,023.29	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $602.56 / $1,096.48	Professional		$151.36	$602.56	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $23,442.29	Facility		$707.95	$758.58	$23,442.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,318.26 / $2,884.03	Professional		$645.65	$1,318.26	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $16,218.10	Facility		$691.83	$1,258.93	$16,218.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,230.27 / $10,232.93	Professional		$691.83	$1,230.27	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $2,041.74	Facility		$1,258.93	$1,995.26	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $3,162.28	Facility		$1,380.38	$1,412.54	$3,162.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $2,570.40	Professional		$870.96	$1,513.56	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $2,398.83	Professional		$831.76	$1,412.54	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $38,018.94 / $72,443.60	Facility		$2,454.71	$38,018.94	$72,443.60
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $2,398.83	Professional		$724.44	$1,202.26	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,071.52 / $1,513.56	Professional		$562.34	$1,071.52	$1,513.56