Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $537.03 / $17,782.79	Facility		$102.33	$537.03	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $275.42	Professional		$48.98	$91.20	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $141.25 / $436.52	Professional	50	$77.62	$141.25	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $91.20	Professional		$39.81	$43.65	$91.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	50	$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $870.96	Facility		$501.19	$707.95	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $257.04	Professional		$63.10	$114.82	$257.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $109.65 / $204.17	Facility		$61.66	$109.65	$204.17
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	50	$676.08	$676.08	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $204.17	Professional		$61.66	$112.20	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $52.48	Professional		$32.36	$33.11	$52.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $165.96 / $181.97	Facility		$117.49	$165.96	$181.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $125.89	Facility		$123.03	$123.03	$125.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $223.87	Professional		$74.13	$128.82	$223.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $537.03	Facility		$426.58	$426.58	$537.03
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $630.96 / $630.96 / $794.33	Facility	50	$630.96	$630.96	$794.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $208.93	Professional		$70.79	$123.03	$208.93
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 $63.10 / $112.20 / $208.93	Professional		$63.10	$112.20	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $144.54	Professional		$45.71	$87.10	$144.54