Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $6,309.57 / $17,782.79	Facility		$331.13	$6,309.57	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $1,174.90	Professional		$229.09	$316.23	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $467.74	Professional		$234.42	$295.12	$467.74
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 $309.03 / $457.09 / $724.44	Professional		$309.03	$457.09	$724.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $575.44 / $9,549.93	Facility		$323.59	$575.44	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $3,090.30	Professional		$309.03	$537.03	$3,090.30
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 $398.11 / $478.63 / $489.78	Facility		$398.11	$478.63	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $331.13	Facility		$323.59	$331.13	$331.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $707.95	Professional		$331.13	$549.54	$707.95
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 $331.13 / $467.74 / $630.96	Professional		$331.13	$467.74	$630.96
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 $245.47 / $389.05 / $691.83	Professional		$245.47	$389.05	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $407.38	Professional		$218.78	$295.12	$407.38