Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,445.44 / $10,232.93	Facility		$389.05	$1,445.44	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $309.03 / $1,122.02	Professional		$120.23	$309.03	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $275.42	Professional		$134.90	$134.90	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,548.82	Facility		$933.25	$933.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $776.25	Professional		$302.00	$501.19	$776.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $524.81 / $1,698.24	Facility		$263.03	$524.81	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $524.81 / $831.76	Professional		$275.42	$524.81	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $549.54 / $562.34	Facility		$398.11	$549.54	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $724.44	Professional		$281.84	$501.19	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $8,317.64	Facility		$3,162.28	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $676.08	Professional		$288.40	$457.09	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $9,332.54	Facility		$1,698.24	$5,754.40	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $741.31	Professional		$239.88	$380.19	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $407.38	Professional		$186.21	$288.40	$407.38