Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,290.87 / $17,782.79	Facility		$218.78	$2,290.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $354.81 / $933.25	Professional		$114.82	$354.81	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,819.70	Facility		$467.74	$562.34	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $346.74 / $1,318.26	Professional		$147.91	$346.74	$1,318.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $489.78 / $1,412.54	Facility		$173.78	$489.78	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $380.19 / $1,258.93	Professional		$144.54	$380.19	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $933.25 / $1,047.13	Facility		$302.00	$933.25	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $912.01	Facility		$676.08	$691.83	$912.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $549.54 / $1,258.93	Professional		$162.18	$549.54	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $6,456.54	Facility		$2,238.72	$3,311.31	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $1,122.02	Professional		$181.97	$380.19	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,715.35 / $7,079.46	Facility		$933.25	$3,715.35	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $302.00 / $1,047.13	Professional		$131.83	$302.00	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $794.33	Professional		$107.15	$204.17	$794.33