Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $158.49 / $10,232.93	Facility		$79.43	$158.49	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $229.09	Professional		$51.29	$75.86	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $204.17	Professional		$58.88	$97.72	$204.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $100.00 / $186.21	Facility		$66.07	$100.00	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $169.82	Professional		$69.18	$100.00	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $56.23	Professional		$31.62	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $134.90	Facility		$97.72	$128.82	$134.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $93.33	Facility		$89.13	$89.13	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $169.82	Professional		$70.79	$123.03	$169.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $691.83	Facility		$239.88	$363.08	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $173.78	Professional		$91.20	$123.03	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $501.19 / $1,258.93	Facility		$154.88	$501.19	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $169.82	Professional		$66.07	$93.33	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $131.83	Professional		$46.77	$79.43	$131.83