Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $3,311.31 / $12,882.50	Facility		$281.84	$3,311.31	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $1,230.27	Professional		$158.49	$346.74	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $426.58 / $602.56	Professional		$89.13	$426.58	$602.56
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 $234.42 / $416.87 / $912.01	Professional		$234.42	$416.87	$912.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $457.09 / $2,570.40	Facility		$239.88	$457.09	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $1,047.13	Professional		$239.88	$407.38	$1,047.13
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 $380.19 / $575.44 / $660.69	Facility		$380.19	$575.44	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $446.68 / $851.14	Professional		$208.93	$446.68	$851.14
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 $229.09 / $407.38 / $794.33	Professional		$229.09	$407.38	$794.33
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 $194.98 / $389.05 / $812.83	Professional		$194.98	$389.05	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $446.68	Professional		$138.04	$257.04	$446.68