Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $954.99 / $9,772.37	Facility		$109.65	$954.99	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $575.44 / $1,778.28 / $2,884.03	Facility	50	$575.44	$1,778.28	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $218.78 / $933.25	Professional		$58.88	$218.78	$933.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $234.42 / $1,174.90	Professional	50	$85.11	$234.42	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $389.05	Professional		$56.23	$93.33	$389.05
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $169.82 / $562.34	Professional	50	$125.89	$169.82	$562.34
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 $70.79 / $190.55 / $660.69	Professional		$70.79	$190.55	$660.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $154.88 / $524.81	Facility		$69.18	$154.88	$524.81
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	50	$1,905.46	$1,905.46	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $524.81	Professional		$70.79	$154.88	$524.81
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 $234.42 / $389.05 / $478.63	Facility		$234.42	$389.05	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Facility		$331.13	$331.13	$338.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $602.56	Professional		$83.18	$194.98	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,659.59	Facility		$1,318.26	$1,318.26	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $1,949.84 / $2,454.71	Facility	50	$1,949.84	$1,949.84	$2,454.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $512.86	Professional		$79.43	$190.55	$512.86
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 $74.13 / $181.97 / $436.52	Professional		$74.13	$181.97	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $371.54	Professional		$51.29	$97.72	$371.54