Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,548.13 / $18,620.87	Facility		$707.95	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,288.25	Professional		$316.23	$446.68	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $2,630.27	Facility		$467.74	$562.34	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,148.15	Professional		$323.59	$602.56	$1,148.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $758.58 / $2,454.71	Facility		$389.05	$758.58	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $724.44 / $1,621.81	Professional		$354.81	$724.44	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $758.58	Facility		$524.81	$691.83	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $602.56	Facility		$489.78	$512.86	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,096.48	Professional		$512.86	$794.33	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,495.41 / $10,471.29	Facility		$3,890.45	$5,495.41	$10,471.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $933.25	Professional		$489.78	$707.95	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,760.83 / $11,220.18	Facility		$1,995.26	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $977.24	Professional		$371.54	$524.81	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $707.95	Professional		$371.54	$436.52	$707.95