Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $9,332.54 / $30,199.52	Facility		$776.25	$9,332.54	$30,199.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $3,715.35 / $19,952.62	Professional		$446.68	$3,715.35	$19,952.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,348.96 / $13,803.84	Professional		$562.34	$1,348.96	$13,803.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $8,128.31 / $46,773.51	Facility		$776.25	$8,128.31	$46,773.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $7,244.36 / $13,803.84	Professional		$758.58	$7,244.36	$13,803.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,511.38 / $9,332.54	Facility		$6,606.93	$8,511.38	$9,332.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,606.93	Facility		$6,165.95	$6,165.95	$6,606.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,380.38 / $11,748.98	Professional		$562.34	$1,380.38	$11,748.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $30,902.95 / $60,255.96	Facility		$22,908.68	$30,902.95	$60,255.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,288.25 / $10,471.29	Professional		$575.44	$1,288.25	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $40,738.03 / $69,183.10	Facility		$8,511.38	$40,738.03	$69,183.10
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $4,365.16 / $11,220.18	Professional		$588.84	$4,365.16	$11,220.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $8,709.64	Professional		$426.58	$691.83	$8,709.64