Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $4,570.88 / $9,772.37	Facility		$338.84	$4,570.88	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $363.08 / $2,089.30	Professional		$138.04	$363.08	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $602.56	Professional		$117.49	$234.42	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $2,454.71	Facility		$630.96	$758.58	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $457.09 / $2,884.03	Professional		$186.21	$457.09	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $912.01 / $2,818.38	Facility		$213.80	$912.01	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $436.52 / $2,398.83	Professional		$181.97	$436.52	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,949.84 / $2,137.96	Facility		$323.59	$1,949.84	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $1,548.82	Facility		$977.24	$1,479.11	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $741.31 / $2,754.23	Professional		$213.80	$741.31	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $10,232.93	Facility		$3,630.78	$5,370.32	$10,232.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $575.44 / $2,398.83	Professional		$239.88	$575.44	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $10,715.19	Facility		$933.25	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $398.11 / $2,187.76	Professional		$169.82	$398.11	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $1,737.80	Professional		$138.04	$263.03	$1,737.80