Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,388.44 / $17,782.79	Facility		$338.84	$3,388.44	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $1,023.29	Professional		$177.83	$363.08	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $954.99	Professional		$346.74	$346.74	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $977.24	Professional		$281.84	$501.19	$977.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $457.09 / $2,691.53	Facility		$263.03	$457.09	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $851.14	Professional		$269.15	$457.09	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $630.96 / $707.95	Facility		$446.68	$630.96	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $912.01	Professional		$257.04	$478.63	$912.01
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 $275.42 / $478.63 / $851.14	Professional		$275.42	$478.63	$851.14
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 $239.88 / $446.68 / $870.96	Professional		$239.88	$446.68	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $501.19	Professional		$158.49	$302.00	$501.19