Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,981.07 / $18,620.87	Facility		$602.56	$3,981.07	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,995.26	Professional		$436.52	$602.56	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,380.38	Professional		$562.34	$870.96	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,096.48 / $9,549.93	Facility		$616.60	$1,096.48	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $3,090.30	Professional		$588.84	$1,047.13	$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 $758.58 / $912.01 / $933.25	Facility		$758.58	$912.01	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $630.96 / $630.96	Facility		$616.60	$630.96	$630.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,348.96	Professional		$630.96	$1,047.13	$1,348.96
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 $630.96 / $891.25 / $1,202.26	Professional		$630.96	$891.25	$1,202.26
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 $478.63 / $758.58 / $1,318.26	Professional		$478.63	$758.58	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $776.25	Professional		$416.87	$562.34	$776.25