Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $9,549.93 / $21,877.62	Facility		$660.69	$9,549.93	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $2,290.87	Professional		$354.81	$660.69	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $691.83	Professional		$371.54	$616.60	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,248.07	Facility		$3,162.28	$3,162.28	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,071.52	Professional		$426.58	$707.95	$1,071.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $851.14 / $13,803.84	Facility		$562.34	$851.14	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $4,168.69	Professional		$562.34	$794.33	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $707.95 / $954.99	Facility		$588.84	$707.95	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $489.78 / $489.78	Facility		$478.63	$489.78	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,047.13	Professional		$489.78	$812.83	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $14,125.38 / $26,915.35	Facility		$9,549.93	$14,125.38	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $954.99	Professional		$489.78	$707.95	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $17,378.01 / $30,199.52	Facility		$2,454.71	$17,378.01	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $1,047.13	Professional		$380.19	$707.95	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $588.84	Professional		$309.03	$416.87	$588.84