Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $5,888.44 / $26,302.68	Facility		$776.25	$5,888.44	$26,302.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,071.52 / $4,570.88	Professional		$380.19	$1,071.52	$4,570.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,041.74 / $2,630.27	Professional		$398.11	$2,041.74	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,290.87 / $14,454.40	Facility		$630.96	$2,290.87	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,258.93 / $6,165.95	Professional		$446.68	$1,258.93	$6,165.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,047.13 / $9,549.93	Facility		$501.19	$1,047.13	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,023.29 / $6,918.31	Professional		$501.19	$1,023.29	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,630.78 / $4,570.88	Facility		$758.58	$3,630.78	$4,570.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,235.94 / $3,311.31	Facility		$3,090.30	$3,235.94	$3,311.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,380.38 / $5,754.40	Professional		$588.84	$1,380.38	$5,754.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $19,498.45 / $37,153.52	Facility		$13,803.84	$19,498.45	$37,153.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $2,454.71 / $5,128.61	Professional		$562.34	$2,454.71	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $19,952.62 / $36,307.81	Facility		$4,265.80	$19,952.62	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,479.11 / $4,677.35	Professional		$512.86	$1,479.11	$4,677.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $724.44 / $3,548.13	Professional		$380.19	$724.44	$3,548.13