Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $489.78 / $17,782.79	Facility		$151.36	$489.78	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $302.00	Professional		$75.86	$117.49	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $338.84	Professional		$97.72	$162.18	$338.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $144.54 / $263.03	Facility		$91.20	$144.54	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $269.15	Professional		$91.20	$151.36	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $51.29	Professional		$32.36	$33.11	$51.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $218.78 / $245.47	Facility		$158.49	$218.78	$245.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $165.96	Facility		$162.18	$162.18	$165.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $302.00	Professional		$114.82	$199.53	$302.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $275.42	Professional		$112.20	$177.83	$275.42
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 $97.72 / $154.88 / $288.40	Professional		$97.72	$154.88	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $186.21	Professional		$69.18	$131.83	$186.21