Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $2,818.38	Facility		$1,230.27	$2,187.76	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $4,786.30	Professional		$933.25	$1,445.44	$4,786.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $3,388.44	Professional		$1,348.96	$2,137.96	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $2,884.03	Facility		$1,380.38	$2,344.23	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $2,884.03	Professional		$1,380.38	$2,344.23	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,344.23	Facility		$1,621.81	$2,187.76	$2,344.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Facility		$1,548.82	$1,548.82	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $3,388.44	Professional		$1,621.81	$2,630.27	$3,388.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $3,019.95	Professional		$1,548.82	$2,238.72	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $3,715.35	Facility		$1,122.02	$1,174.90	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $3,235.94	Professional		$1,096.48	$1,737.80	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,949.84	Professional		$1,023.29	$1,380.38	$1,949.84