Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $977.24 / $10,232.93	Facility		$199.53	$977.24	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $707.95	Professional		$138.04	$263.03	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $331.13	Professional		$165.96	$263.03	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $467.74	Professional		$186.21	$302.00	$467.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $288.40 / $446.68	Facility		$162.18	$288.40	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $407.38	Professional		$162.18	$288.40	$407.38
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 $213.80 / $309.03 / $338.84	Facility		$213.80	$309.03	$338.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $234.42	Facility		$229.09	$229.09	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $446.68	Professional		$190.55	$323.59	$446.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,737.80	Facility		$660.69	$912.01	$1,737.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $398.11	Professional		$199.53	$275.42	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,148.15 / $2,398.83	Facility		$645.65	$1,148.15	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $446.68	Professional		$165.96	$234.42	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $234.42	Professional		$117.49	$165.96	$234.42