Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $575.44 / $17,782.79	Facility		$173.78	$575.44	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $371.54	Professional		$93.33	$131.83	$371.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	52	$309.03	$309.03	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $239.88 / $870.96	Facility		$199.53	$239.88	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $389.05	Professional		$107.15	$199.53	$389.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $162.18 / $323.59	Facility		$107.15	$162.18	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $295.12	Professional		$107.15	$165.96	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $269.15	Facility		$162.18	$234.42	$269.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Facility		$173.78	$173.78	$181.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $331.13	Professional		$162.18	$251.19	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $831.76 / $1,621.81	Facility		$562.34	$831.76	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $302.00	Professional		$151.36	$223.87	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,071.52 / $2,454.71	Facility		$416.87	$1,071.52	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $323.59	Professional		$120.23	$169.82	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $208.93	Professional		$109.65	$147.91	$208.93