Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,890.45 / $8,912.51	Facility		$316.23	$3,890.45	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $1,148.15	Professional		$194.98	$309.03	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $645.65	Professional		$251.19	$371.54	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $660.69	Professional		$245.47	$398.11	$660.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $478.63 / $3,467.37	Facility		$288.40	$478.63	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $776.25	Professional		$288.40	$457.09	$776.25
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 $363.08 / $426.58 / $478.63	Facility		$363.08	$426.58	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $562.34	Professional		$257.04	$426.58	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $8,709.64	Facility		$2,951.21	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $524.81	Professional		$257.04	$407.38	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,888.44 / $9,332.54	Facility		$1,698.24	$5,888.44	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $575.44	Professional		$229.09	$346.74	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $436.52	Professional		$199.53	$263.03	$436.52