Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,905.46 / $17,782.79	Facility		$323.59	$1,905.46	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $660.69 / $1,445.44	Professional		$173.78	$660.69	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Professional		$144.54	$144.54	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,890.45	Facility		$2,344.23	$2,344.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $562.34 / $2,089.30	Professional		$275.42	$562.34	$2,089.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,047.13 / $4,466.84	Facility		$275.42	$1,047.13	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $870.96 / $2,290.87	Professional		$295.12	$870.96	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,479.11	Facility		$891.25	$1,288.25	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,047.13	Facility		$1,023.29	$1,047.13	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $602.56 / $1,949.84	Professional		$239.88	$602.56	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $9,772.37 / $19,054.61	Facility		$6,606.93	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $912.01 / $1,819.70	Professional		$263.03	$912.01	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,302.69 / $20,892.96	Facility		$1,995.26	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $660.69 / $1,905.46	Professional		$229.09	$660.69	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $1,071.52	Professional		$151.36	$288.40	$1,071.52