Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $3,019.95 / $15,848.93	Facility		$295.12	$3,019.95	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $309.03 / $1,174.90	Professional		$154.88	$309.03	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $630.96	Professional		$223.87	$263.03	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $457.09	Facility		$269.15	$269.15	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $870.96	Professional		$245.47	$436.52	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $416.87 / $2,691.53	Facility		$229.09	$416.87	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $758.58	Professional		$239.88	$398.11	$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 $389.05 / $562.34 / $630.96	Facility		$389.05	$562.34	$630.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $436.52 / $831.76	Professional		$223.87	$436.52	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,912.51 / $16,982.44	Facility		$5,888.44	$8,912.51	$16,982.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $758.58	Professional		$239.88	$426.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,220.18 / $19,498.45	Facility		$1,995.26	$11,220.18	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $776.25	Professional		$208.93	$398.11	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $446.68	Professional		$141.25	$269.15	$446.68