Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,290.87 / $11,481.54	Facility		$173.78	$2,290.87	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $239.88 / $588.84	Professional		$85.11	$239.88	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,445.44	Facility		$467.74	$562.34	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $645.65	Professional		$109.65	$263.03	$645.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $295.12 / $891.25	Facility		$128.82	$295.12	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $676.08	Professional		$109.65	$245.47	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $457.09 / $524.81	Facility		$316.23	$457.09	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $707.95	Facility		$363.08	$363.08	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $346.74 / $660.69	Professional		$123.03	$346.74	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,897.79	Facility		$1,819.70	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $331.13 / $575.44	Professional		$138.04	$331.13	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,162.28 / $6,309.57	Facility		$933.25	$3,162.28	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.42 / $489.78	Professional		$100.00	$234.42	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $416.87	Professional		$79.43	$151.36	$416.87