Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $8,511.38 / $18,197.01	Facility		$407.38	$8,511.38	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $1,174.90	Professional		$204.17	$323.59	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $371.54	Professional		$131.83	$190.55	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $3,981.07	Facility		$891.25	$1,071.52	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $645.65	Professional		$218.78	$354.81	$645.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $3,467.37	Facility		$245.47	$446.68	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $1,819.70	Professional		$199.53	$398.11	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $436.52	Facility		$302.00	$398.11	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $295.12 / $1,862.09	Facility		$281.84	$295.12	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $630.96	Professional		$295.12	$457.09	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,332.54 / $17,378.01	Facility		$6,918.31	$9,332.54	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $537.03	Professional		$316.23	$407.38	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $10,232.93 / $18,620.87	Facility		$1,548.82	$10,232.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $537.03	Professional		$194.98	$288.40	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $380.19	Professional		$199.53	$229.09	$380.19