Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,698.24 / $13,803.84	Facility		$138.04	$1,698.24	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $190.55 / $524.81	Professional		$70.79	$190.55	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $263.03	Professional		$123.03	$123.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $1,445.44	Facility		$501.19	$707.95	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $537.03	Professional		$89.13	$218.78	$537.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $245.47 / $831.76	Facility		$95.50	$245.47	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $199.53 / $549.54	Professional		$89.13	$199.53	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $380.19 / $426.58	Facility		$275.42	$380.19	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $295.12 / $707.95	Facility		$288.40	$295.12	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $275.42 / $537.03	Professional		$102.33	$275.42	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $4,897.79	Facility		$1,698.24	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $275.42 / $467.74	Professional		$114.82	$275.42	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,162.28 / $6,309.57	Facility		$933.25	$3,162.28	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $407.38	Professional		$83.18	$199.53	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $363.08	Professional		$70.79	$134.90	$363.08