Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,981.07 / $11,481.54	Facility		$371.54	$3,981.07	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $794.33 / $2,041.74	Professional		$199.53	$794.33	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $363.08	Professional		$346.74	$346.74	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $2,454.71	Facility		$467.74	$630.96	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $660.69 / $2,290.87	Professional		$251.19	$660.69	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,174.90 / $2,454.71	Facility		$295.12	$1,174.90	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $870.96 / $2,137.96	Professional		$257.04	$870.96	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,905.46	Facility		$1,318.26	$1,584.89	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,230.27	Facility		$977.24	$1,122.02	$1,230.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,000.00 / $2,137.96	Professional		$281.84	$1,000.00	$2,137.96
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 $316.23 / $1,000.00 / $1,905.46	Professional		$316.23	$1,000.00	$1,905.46
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 $234.42 / $794.33 / $1,862.09	Professional		$234.42	$794.33	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $1,148.15	Professional		$177.83	$338.84	$1,148.15