Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,778.28 / $18,620.87	Facility		$363.08	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $891.25	Professional		$173.78	$331.13	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $10,000.00	Facility		$707.95	$870.96	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $426.58 / $933.25	Professional		$208.93	$426.58	$933.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $7,585.78	Facility		$234.42	$457.09	$7,585.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $4,786.30	Professional		$234.42	$457.09	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $660.69	Facility		$478.63	$645.65	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $2,187.76	Facility		$446.68	$457.09	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $812.83	Professional		$263.03	$457.09	$812.83
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 $245.47 / $446.68 / $776.25	Professional		$245.47	$446.68	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $21,379.62 / $41,686.94	Facility		$1,995.26	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $812.83	Professional		$229.09	$416.87	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $467.74	Professional		$177.83	$338.84	$467.74