Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,513.56 / $17,782.79	Facility		$436.52	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $851.14	Professional		$223.87	$316.23	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,862.09	Facility		$630.96	$758.58	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $794.33	Professional		$257.04	$426.58	$794.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $512.86 / $1,380.38	Facility		$288.40	$512.86	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $812.83	Professional		$245.47	$457.09	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $575.44 / $616.60	Facility		$416.87	$575.44	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $954.99	Facility		$407.38	$416.87	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $794.33	Professional		$323.59	$537.03	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $8,317.64	Facility		$3,311.31	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $676.08	Professional		$354.81	$478.63	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,897.79 / $8,709.64	Facility		$933.25	$4,897.79	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $660.69	Professional		$245.47	$380.19	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $446.68	Professional		$204.17	$316.23	$446.68