Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,000.00 / $17,782.79	Facility		$331.13	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $676.08	Professional		$141.25	$275.42	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $416.87	Professional		$165.96	$323.59	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $426.58 / $741.31	Professional		$208.93	$426.58	$741.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $354.81 / $616.60	Facility		$186.21	$354.81	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $630.96	Professional		$194.98	$371.54	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $537.03	Facility		$245.47	$436.52	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $363.08	Facility		$354.81	$354.81	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $660.69	Professional		$251.19	$446.68	$660.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $616.60	Professional		$245.47	$380.19	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $3,715.35	Facility		$177.83	$177.83	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $616.60	Professional		$173.78	$281.84	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $371.54	Professional		$158.49	$263.03	$371.54