Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,513.56 / $11,481.54	Facility		$281.84	$1,513.56	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $1,023.29	Professional		$162.18	$338.84	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $275.42	Professional		$229.09	$229.09	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $1,023.29	Professional		$239.88	$416.87	$1,023.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $478.63 / $4,466.84	Facility		$251.19	$478.63	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $1,778.28	Professional		$257.04	$416.87	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $588.84 / $724.44	Facility		$371.54	$588.84	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $501.19 / $501.19	Facility		$489.78	$501.19	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $457.09 / $933.25	Professional		$213.80	$457.09	$933.25
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 $229.09 / $436.52 / $851.14	Professional		$229.09	$436.52	$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 $204.17 / $380.19 / $870.96	Professional		$204.17	$380.19	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $478.63	Professional		$134.90	$257.04	$478.63