Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $4,677.35 / $11,481.54	Facility		$263.03	$4,677.35	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $831.76	Professional		$131.83	$295.12	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $190.55	Professional		$81.28	$81.28	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $851.14	Professional		$204.17	$363.08	$851.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $436.52 / $2,570.40	Facility		$204.17	$436.52	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $1,023.29	Professional		$208.93	$363.08	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $537.03 / $616.60	Facility		$363.08	$537.03	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $794.33	Professional		$181.97	$398.11	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,754.40 / $10,964.78	Facility		$4,365.16	$5,754.40	$10,964.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $724.44	Professional		$199.53	$371.54	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,762.47 / $12,589.25	Facility		$1,995.26	$7,762.47	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $741.31	Professional		$173.78	$354.81	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $407.38	Professional		$120.23	$229.09	$407.38