Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,621.81 / $13,803.84	Facility		$295.12	$1,621.81	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $416.87 / $1,230.27	Professional		$194.98	$416.87	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $309.03	Professional		$173.78	$199.53	$309.03
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 $251.19 / $549.54 / $1,659.59	Professional		$251.19	$549.54	$1,659.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $724.44 / $1,905.46	Facility		$295.12	$724.44	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $575.44 / $1,584.89	Professional		$245.47	$575.44	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,202.26 / $1,258.93	Facility		$501.19	$1,202.26	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $891.25 / $1,230.27	Facility		$851.14	$891.25	$1,230.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $794.33 / $1,584.89	Professional		$275.42	$794.33	$1,584.89
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 $316.23 / $741.31 / $1,445.44	Professional		$316.23	$741.31	$1,445.44
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 $223.87 / $512.86 / $1,318.26	Professional		$223.87	$512.86	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $1,000.00	Professional		$177.83	$338.84	$1,000.00