Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $346.74 / $17,782.79	Facility		$89.13	$346.74	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $120.23 / $281.84	Professional		$45.71	$120.23	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $331.13	Professional		$83.18	$181.97	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $467.74 / $630.96	Facility		$134.90	$467.74	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $138.04 / $346.74	Professional		$58.88	$138.04	$346.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $151.36 / $436.52	Facility		$67.61	$151.36	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $302.00	Professional		$60.26	$128.82	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $77.62	Professional		$30.90	$33.11	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $257.04	Facility		$162.18	$234.42	$257.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $177.83 / $177.83	Facility		$144.54	$177.83	$177.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $169.82 / $323.59	Professional		$67.61	$169.82	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $4,897.79	Facility		$1,737.80	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $169.82 / $275.42	Professional		$74.13	$169.82	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,884.03 / $5,248.07	Facility		$602.56	$2,884.03	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $120.23 / $245.47	Professional		$53.70	$120.23	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $218.78	Professional		$44.67	$85.11	$218.78