Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,000.00 / $17,782.79	Facility		$323.59	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $616.60	Professional		$162.18	$239.88	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $501.19 / $954.99	Facility		$204.17	$501.19	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $616.60	Professional		$186.21	$323.59	$616.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $354.81 / $707.95	Facility		$204.17	$354.81	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $549.54	Professional		$186.21	$323.59	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $478.63	Facility		$316.23	$446.68	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $316.23 / $323.59	Facility		$213.80	$316.23	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $616.60	Professional		$234.42	$398.11	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $512.86	Professional		$263.03	$371.54	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $9,549.93 / $18,620.87	Facility		$933.25	$9,549.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $489.78	Professional		$177.83	$281.84	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $346.74	Professional		$151.36	$245.47	$346.74