Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $4,466.84 / $18,620.87	Facility		$316.23	$4,466.84	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $426.58	Professional		$141.25	$181.97	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $512.86	Professional		$199.53	$338.84	$512.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $426.58	Facility		$190.55	$338.84	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $426.58	Professional		$194.98	$346.74	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $331.13 / $346.74	Facility		$281.84	$331.13	$346.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $501.19	Professional		$234.42	$389.05	$501.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $436.52	Professional		$239.88	$338.84	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $660.69 / $6,165.95	Facility		$190.55	$660.69	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $489.78	Professional		$154.88	$275.42	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $275.42	Professional		$144.54	$194.98	$275.42