Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,584.89 / $17,782.79	Facility		$316.23	$1,584.89	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $562.34	Professional		$169.82	$257.04	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Professional		$354.81	$354.81	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $645.65	Professional		$251.19	$389.05	$645.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $426.58 / $1,905.46	Facility		$239.88	$426.58	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $758.58	Professional		$239.88	$416.87	$758.58
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 $323.59 / $426.58 / $467.74	Facility		$323.59	$426.58	$467.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $316.23 / $316.23	Facility		$309.03	$316.23	$316.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $588.84	Professional		$234.42	$416.87	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,709.64	Facility		$3,090.30	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $537.03	Professional		$245.47	$354.81	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,165.95 / $9,772.37	Facility		$1,698.24	$6,165.95	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $602.56	Professional		$208.93	$316.23	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $354.81	Professional		$165.96	$257.04	$354.81