Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $2,290.87 / $17,782.79	Facility		$123.03	$2,290.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $380.19	Professional		$60.26	$131.83	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $630.96 / $630.96	Professional	50	$141.25	$630.96	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $208.93	Professional		$181.97	$181.97	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $562.34	Facility		$467.74	$501.19	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $363.08	Professional		$74.13	$147.91	$363.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $138.04 / $295.12	Facility		$77.62	$138.04	$295.12
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	50	$977.24	$977.24	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $295.12	Professional		$79.43	$141.25	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $269.15	Facility		$162.18	$239.88	$269.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $186.21	Facility		$181.97	$181.97	$186.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $338.84	Professional		$87.10	$177.83	$338.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $851.14	Facility		$676.08	$676.08	$851.14
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,000.00 / $1,000.00 / $1,288.25	Facility	50	$1,000.00	$1,000.00	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $309.03	Professional		$83.18	$162.18	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $309.03	Professional		$75.86	$151.36	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $208.93	Professional		$53.70	$102.33	$208.93