Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $6,025.60 / $20,892.96	Facility		$707.95	$6,025.60	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $1,096.48	Professional		$338.84	$478.63	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,890.45	Facility		$2,344.23	$2,344.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,122.02	Professional		$446.68	$707.95	$1,122.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $891.25 / $9,549.93	Facility		$478.63	$891.25	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $3,090.30	Professional		$478.63	$831.76	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $758.58	Facility		$616.60	$724.44	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $512.86 / $512.86	Facility		$501.19	$512.86	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,096.48	Professional		$512.86	$851.14	$1,096.48
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 $512.86 / $724.44 / $977.24	Professional		$512.86	$724.44	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $12,302.69 / $20,892.96	Facility		$1,698.24	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,071.52	Professional		$354.81	$602.56	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $389.05	Professional		$204.17	$275.42	$389.05