Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,862.09 / $17,782.79	Facility		$295.12	$1,862.09	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $660.69	Professional		$151.36	$213.80	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $794.33	Facility		$467.74	$467.74	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $512.86	Professional		$223.87	$331.13	$512.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $371.54 / $812.83	Facility		$229.09	$371.54	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $512.86	Professional		$229.09	$371.54	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $69.18	Professional		$32.36	$33.11	$69.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $363.08	Facility		$269.15	$354.81	$363.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $251.19 / $251.19	Facility		$245.47	$251.19	$251.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $489.78	Professional		$218.78	$371.54	$489.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,388.44	Facility		$1,202.26	$1,778.28	$3,388.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $436.52	Professional		$223.87	$331.13	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,344.23 / $4,570.88	Facility		$933.25	$2,344.23	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $501.19	Professional		$190.55	$275.42	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $281.84	Professional		$147.91	$208.93	$281.84