Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $9,772.37 / $15,488.17	Facility		$1,513.56	$9,772.37	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $977.24 / $4,786.30	Professional		$316.23	$977.24	$4,786.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $575.44 / $630.96	Professional		$257.04	$575.44	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,023.29 / $2,951.21	Professional		$436.52	$1,023.29	$2,951.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,995.26 / $12,022.64	Facility		$616.60	$1,995.26	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,659.59 / $3,090.30	Professional		$616.60	$1,659.59	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,137.96	Facility		$1,513.56	$1,819.70	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,380.38	Facility		$1,318.26	$1,318.26	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,096.48 / $2,454.71	Professional		$446.68	$1,096.48	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $9,120.11 / $17,378.01	Facility		$6,456.54	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,000.00 / $2,238.72	Professional		$457.09	$1,000.00	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $11,748.98 / $19,054.61	Facility		$3,311.31	$11,748.98	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $977.24 / $2,454.71	Professional		$446.68	$977.24	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,905.46	Professional		$346.74	$562.34	$1,905.46