Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,238.72 / $15,848.93	Facility		$281.84	$2,238.72	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $602.56 / $1,819.70	Professional		$144.54	$602.56	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $562.34 / $2,398.83	Professional		$208.93	$562.34	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $446.68 / $2,089.30	Facility		$269.15	$446.68	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $2,089.30	Professional		$269.15	$467.74	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,659.59	Facility		$1,148.15	$1,513.56	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,148.15	Facility		$1,071.52	$1,071.52	$1,148.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $501.19 / $1,995.26	Professional		$208.93	$501.19	$1,995.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $1,819.70	Professional		$213.80	$467.74	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $6,165.95	Facility		$501.19	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $776.25 / $1,949.84	Professional		$204.17	$776.25	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $1,548.82	Professional		$154.88	$257.04	$1,548.82