Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,884.03 / $9,772.37	Facility		$151.36	$2,884.03	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $489.78	Professional		$79.43	$169.82	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $131.83 / $186.21	Professional		$38.90	$131.83	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,995.26	Facility		$467.74	$562.34	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $436.52	Professional		$102.33	$208.93	$436.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $229.09 / $1,445.44	Facility		$112.20	$229.09	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $457.09	Professional		$104.71	$199.53	$457.09
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 $229.09 / $323.59 / $346.74	Facility		$229.09	$323.59	$346.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $239.88 / $1,047.13	Facility		$234.42	$239.88	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $239.88 / $436.52	Professional		$114.82	$239.88	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,709.64	Facility		$3,090.30	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $380.19	Professional		$128.82	$239.88	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $9,332.54	Facility		$933.25	$5,128.61	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $346.74	Professional		$95.50	$177.83	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $245.47	Professional		$70.79	$134.90	$245.47