Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,311.31 / $13,803.84	Facility		$575.44	$3,311.31	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $1,380.38	Professional		$257.04	$616.60	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $467.74	Professional		$257.04	$257.04	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,819.70	Facility		$630.96	$758.58	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $691.83 / $1,737.80	Professional		$316.23	$691.83	$1,737.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $851.14 / $1,698.24	Facility		$389.05	$851.14	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $724.44 / $1,584.89	Professional		$338.84	$724.44	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,380.38	Facility		$891.25	$1,258.93	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $933.25	Facility		$741.31	$912.01	$933.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $870.96 / $1,698.24	Professional		$354.81	$870.96	$1,698.24
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 $407.38 / $891.25 / $1,513.56	Professional		$407.38	$891.25	$1,513.56
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 $295.12 / $660.69 / $1,348.96	Professional		$295.12	$660.69	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $1,071.52	Professional		$229.09	$436.52	$1,071.52