Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,951.21 / $17,782.79	Facility		$281.84	$2,951.21	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,122.02 / $2,454.71	Professional		$213.80	$1,122.02	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $363.08	Professional		$218.78	$218.78	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $676.08 / $3,548.13	Professional		$323.59	$676.08	$3,548.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $616.60 / $3,235.94	Facility		$331.13	$616.60	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $645.65 / $3,311.31	Professional		$346.74	$645.65	$3,311.31
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 $1,698.24 / $2,344.23 / $2,570.40	Facility		$1,698.24	$2,344.23	$2,570.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,778.28	Facility		$1,737.80	$1,737.80	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $724.44 / $3,388.44	Professional		$288.40	$724.44	$3,388.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $660.69 / $3,090.30	Professional		$316.23	$660.69	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $660.69 / $6,165.95	Facility		$190.55	$660.69	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,230.27 / $3,311.31	Professional		$288.40	$1,230.27	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $1,819.70	Professional		$181.97	$346.74	$1,819.70