Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $4,570.88 / $10,715.19	Facility		$501.19	$4,570.88	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $588.84 / $4,677.35	Professional		$269.15	$588.84	$4,677.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $1,819.70	Facility		$501.19	$870.96	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $741.31 / $6,606.93	Professional		$331.13	$741.31	$6,606.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,230.27 / $6,456.54	Facility		$407.38	$1,230.27	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,174.90 / $6,456.54	Professional		$331.13	$1,174.90	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $5,888.44	Facility		$3,715.35	$4,570.88	$5,888.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,311.31 / $3,548.13	Facility		$741.31	$3,311.31	$3,548.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,318.26 / $6,309.57	Professional		$371.54	$1,318.26	$6,309.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $6,456.54	Facility		$2,290.87	$3,311.31	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $870.96 / $5,888.44	Professional		$426.58	$870.96	$5,888.44
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 $309.03 / $741.31 / $5,623.41	Professional		$309.03	$741.31	$5,623.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $3,890.45	Professional		$239.88	$457.09	$3,890.45