Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,677.35 / $19,952.62	Facility		$1,071.52	$4,677.35	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $2,630.27	Professional		$426.58	$724.44	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,454.71	Facility		$1,023.29	$1,023.29	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,778.28	Professional		$549.54	$912.01	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,122.02 / $2,290.87	Facility		$602.56	$1,122.02	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,122.02 / $1,819.70	Professional		$602.56	$1,122.02	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,348.96	Facility		$891.25	$1,230.27	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $912.01 / $933.25	Facility		$891.25	$912.01	$933.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $1,659.59	Professional		$676.08	$1,174.90	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $12,589.25	Facility		$4,786.30	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,698.24	Professional		$870.96	$1,202.26	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,413.10 / $13,489.63	Facility		$1,380.38	$7,413.10	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,659.59	Professional		$575.44	$870.96	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $794.33 / $1,318.26	Professional		$89.13	$794.33	$1,318.26