Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,187.76 / $10,232.93	Facility		$316.23	$2,187.76	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $794.33	Professional		$165.96	$245.47	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $331.13	Professional		$173.78	$295.12	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $512.86	Professional		$223.87	$346.74	$512.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $346.74 / $436.52	Facility		$218.78	$346.74	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $446.68	Professional		$229.09	$363.08	$446.68
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 $281.84 / $331.13 / $346.74	Facility		$281.84	$331.13	$346.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $234.42	Facility		$229.09	$229.09	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $501.19	Professional		$234.42	$389.05	$501.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $436.52	Professional		$234.42	$338.84	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $660.69 / $6,165.95	Facility		$190.55	$660.69	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $489.78	Professional		$173.78	$295.12	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $275.42	Professional		$144.54	$194.98	$275.42