Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $6,309.57 / $15,488.17	Facility		$363.08	$6,309.57	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $1,230.27	Professional		$245.47	$426.58	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $575.44	Professional		$316.23	$467.74	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,981.07	Facility		$2,398.83	$2,398.83	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $851.14	Professional		$309.03	$549.54	$851.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $602.56 / $4,466.84	Facility		$331.13	$602.56	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,778.28	Professional		$331.13	$575.44	$1,778.28
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 $407.38 / $537.03 / $616.60	Facility		$407.38	$537.03	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $831.76	Professional		$354.81	$602.56	$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 $354.81 / $537.03 / $724.44	Professional		$354.81	$537.03	$724.44
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 $302.00 / $416.87 / $794.33	Professional		$302.00	$416.87	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $446.68	Professional		$234.42	$331.13	$446.68