Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,737.80 / $17,782.79	Facility		$263.03	$1,737.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $676.08	Professional		$144.54	$309.03	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $380.19 / $831.76	Professional		$177.83	$380.19	$831.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $724.44	Facility		$239.88	$363.08	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $741.31	Professional		$234.42	$363.08	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $537.03 / $630.96	Facility		$446.68	$537.03	$630.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $398.11	Facility		$380.19	$380.19	$398.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $380.19 / $707.95	Professional		$177.83	$380.19	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $5,754.40	Facility		$4,570.88	$4,570.88	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $645.65	Professional		$181.97	$363.08	$645.65
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 $181.97 / $354.81 / $707.95	Professional		$181.97	$354.81	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $537.03	Professional		$131.83	$218.78	$537.03