Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $9,549.93 / $20,892.96	Facility		$467.74	$9,549.93	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $1,479.11	Professional		$323.59	$416.87	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $6,760.83	Facility		$4,073.80	$4,073.80	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,122.02	Professional		$446.68	$707.95	$1,122.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $891.25 / $15,488.17	Facility		$501.19	$891.25	$15,488.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $5,495.41	Professional		$478.63	$812.83	$5,495.41
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 / $758.58	Facility		$588.84	$707.95	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $512.86 / $512.86	Facility		$501.19	$512.86	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,096.48	Professional		$512.86	$851.14	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $31,622.78	Facility		$10,715.19	$16,218.10	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $977.24	Professional		$512.86	$724.44	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $20,892.96 / $36,307.81	Facility		$4,265.80	$20,892.96	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $1,071.52	Professional		$354.81	$575.44	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $630.96	Professional		$331.13	$446.68	$630.96