Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,819.70 / $17,782.79	Facility		$141.25	$1,819.70	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $512.86 / $1,258.93	Professional		$67.61	$512.86	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $131.83	Professional		$112.20	$117.49	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $2,454.71	Facility		$501.19	$870.96	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $309.03 / $1,513.56	Professional		$87.10	$309.03	$1,513.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $724.44 / $1,659.59	Facility		$95.50	$724.44	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $489.78 / $1,513.56	Professional		$87.10	$489.78	$1,513.56
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 $741.31 / $1,047.13 / $1,148.15	Facility		$741.31	$1,047.13	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $831.76 / $1,230.27	Facility		$794.33	$831.76	$1,230.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $645.65 / $1,513.56	Professional		$97.72	$645.65	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $10,232.93	Facility		$3,630.78	$5,370.32	$10,232.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $776.25 / $1,318.26	Professional		$109.65	$776.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $10,715.19	Facility		$933.25	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $457.09 / $1,148.15	Professional		$79.43	$457.09	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $812.83	Professional		$60.26	$114.82	$812.83