Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $4,677.35 / $14,791.08	Facility		$416.87	$4,677.35	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $691.83 / $1,412.54	Professional		$218.78	$691.83	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $3,235.94	Facility		$501.19	$870.96	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $660.69 / $1,862.09	Professional		$275.42	$660.69	$1,862.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $933.25 / $2,137.96	Facility		$316.23	$933.25	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $660.69 / $1,862.09	Professional		$281.84	$660.69	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,445.44	Facility		$954.99	$1,348.96	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,548.82	Facility		$977.24	$1,023.29	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $933.25 / $1,862.09	Professional		$309.03	$933.25	$1,862.09
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 $346.74 / $954.99 / $1,621.81	Professional		$346.74	$954.99	$1,621.81
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 $257.04 / $660.69 / $1,412.54	Professional		$257.04	$660.69	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $1,174.90	Professional		$199.53	$380.19	$1,174.90