Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $8,128.31 / $18,620.87	Facility		$691.83	$8,128.31	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,819.70	Professional		$323.59	$478.63	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
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 / $776.25 / $1,174.90	Professional		$457.09	$776.25	$1,174.90
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 $630.96 / $758.58 / $870.96	Facility		$630.96	$758.58	$870.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $588.84 / $588.84	Facility		$575.44	$588.84	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,174.90	Professional		$524.81	$891.25	$1,174.90
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 $512.86 / $758.58 / $1,071.52	Professional		$512.86	$758.58	$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 / $1,122.02	Professional		$426.58	$616.60	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $630.96	Professional		$331.13	$467.74	$630.96