Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $4,677.35 / $18,197.01	Facility		$338.84	$4,677.35	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $3,090.30 / $7,585.78	Professional		$165.96	$3,090.30	$7,585.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $275.42	Professional		$199.53	$245.47	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $9,332.54	Facility		$5,495.41	$5,495.41	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $537.03 / $8,511.38	Professional		$257.04	$537.03	$8,511.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $4,897.79 / $10,964.78	Facility		$263.03	$4,897.79	$10,964.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $4,570.88 / $8,912.51	Professional		$263.03	$4,570.88	$8,912.51
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 $3,630.78 / $5,370.32 / $5,888.44	Facility		$3,630.78	$5,370.32	$5,888.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,981.07	Facility		$3,890.45	$3,890.45	$3,981.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $562.34 / $7,585.78	Professional		$223.87	$562.34	$7,585.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $14,791.08 / $28,183.83	Facility		$10,715.19	$14,791.08	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $3,019.95 / $7,244.36	Professional		$251.19	$3,019.95	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $19,054.61 / $32,359.37	Facility		$4,265.80	$19,054.61	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $3,311.31 / $7,585.78	Professional		$218.78	$3,311.31	$7,585.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $5,495.41	Professional		$144.54	$269.15	$5,495.41