Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $7,943.28 / $17,782.79	Facility		$489.78	$7,943.28	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $1,348.96	Professional		$323.59	$436.52	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,981.07	Facility		$2,398.83	$2,398.83	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,202.26	Professional		$457.09	$794.33	$1,202.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $4,466.84	Facility		$489.78	$870.96	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,778.28	Professional		$489.78	$831.76	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $891.25	Facility		$549.54	$776.25	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $602.56 / $602.56	Facility		$588.84	$602.56	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $1,202.26	Professional		$524.81	$912.01	$1,202.26
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 $524.81 / $776.25 / $1,071.52	Professional		$524.81	$776.25	$1,071.52
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 $426.58 / $616.60 / $1,148.15	Professional		$426.58	$616.60	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $645.65	Professional		$338.84	$478.63	$645.65