Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $6,025.60 / $17,782.79	Facility		$389.05	$6,025.60	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $954.99	Professional		$194.98	$269.15	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
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 $263.03 / $389.05 / $616.60	Professional		$263.03	$389.05	$616.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $489.78 / $5,495.41	Facility		$275.42	$489.78	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $1,819.70	Professional		$263.03	$467.74	$1,819.70
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 $338.84 / $407.38 / $416.87	Facility		$338.84	$407.38	$416.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $281.84 / $281.84	Facility		$275.42	$281.84	$281.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $602.56	Professional		$281.84	$467.74	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,754.40 / $10,964.78	Facility		$3,801.89	$5,754.40	$10,964.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $537.03	Professional		$281.84	$398.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,413.10 / $12,589.25	Facility		$1,698.24	$7,413.10	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $602.56	Professional		$208.93	$338.84	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $354.81	Professional		$186.21	$251.19	$354.81