Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $309.03 / $17,782.79	Facility		$131.83	$309.03	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $288.40	Professional		$67.61	$112.20	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $316.23	Professional		$79.43	$141.25	$316.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $263.03	Facility		$89.13	$151.36	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $263.03	Professional		$83.18	$151.36	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $239.88	Facility		$144.54	$208.93	$239.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $302.00	Professional		$104.71	$173.78	$302.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $263.03	Professional		$112.20	$165.96	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $6,165.95	Facility		$416.87	$660.69	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $257.04	Professional		$77.62	$134.90	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $120.23 / $169.82	Professional		$63.10	$120.23	$169.82