Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,511.89 / $6,606.93	Facility		$323.59	$2,511.89	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $3,235.94 / $4,265.80	Facility	50	$2,570.40	$3,235.94	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $1,047.13	Professional		$125.89	$275.42	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $1,023.29 / $1,698.24	Professional	50	$251.19	$1,023.29	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $416.87	Professional		$154.88	$257.04	$416.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $323.59 / $323.59	Professional	50	$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,348.96	Facility		$467.74	$562.34	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $724.44	Professional		$144.54	$309.03	$724.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $851.14	Facility		$162.18	$316.23	$851.14
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,905.46 / $3,235.94 / $6,760.83	Facility	50	$1,905.46	$3,235.94	$6,760.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $691.83	Professional		$162.18	$309.03	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $457.09 / $537.03	Facility		$323.59	$457.09	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $660.69	Professional		$186.21	$363.08	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $4,897.79	Facility		$1,778.28	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $3,890.45 / $7,413.10	Facility	50	$2,630.27	$3,890.45	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $630.96	Professional		$177.83	$363.08	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,090.30 / $5,011.87	Facility		$891.25	$3,090.30	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $602.56	Professional		$158.49	$309.03	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $416.87	Professional		$117.49	$223.87	$416.87