Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $97.72 / $371.54	Facility		$41.69	$97.72	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $144.54	Professional		$28.18	$52.48	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $63.10	Professional		$38.02	$38.02	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $120.23	Professional		$32.36	$57.54	$120.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $56.23 / $107.15	Facility		$32.36	$56.23	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $97.72	Professional		$32.36	$56.23	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $38.02	Professional		$22.91	$32.36	$38.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $79.43 / $85.11	Facility		$56.23	$79.43	$85.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Facility		$54.95	$54.95	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $107.15	Professional		$41.69	$72.44	$107.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $691.83	Facility		$234.42	$363.08	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $95.50	Professional		$39.81	$63.10	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $1,258.93	Facility		$354.81	$512.86	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $102.33	Professional		$35.48	$53.70	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $89.13	Professional		$46.77	$53.70	$89.13