Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,585.78 / $21,877.62	Facility		$1,096.48	$7,585.78	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $2,884.03	Professional		$524.81	$891.25	$2,884.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,096.48	Professional		$676.08	$977.24	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $19,498.45 / $37,153.52	Facility		$16,595.87	$19,498.45	$37,153.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,698.24	Professional		$741.31	$1,047.13	$1,698.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $48,977.88	Facility		$912.01	$1,412.54	$48,977.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $10,715.19	Professional		$912.01	$1,258.93	$10,715.19
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 $933.25 / $1,096.48 / $1,148.15	Facility		$933.25	$1,096.48	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $794.33	Facility		$776.25	$776.25	$794.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,659.59	Professional		$794.33	$1,288.25	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $30,902.95 / $60,255.96	Facility		$21,877.62	$30,902.95	$60,255.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,513.56	Professional		$794.33	$1,096.48	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $40,738.03 / $69,183.10	Facility		$4,677.35	$40,738.03	$69,183.10
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $1,584.89	Professional		$575.44	$933.25	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $851.14	Professional		$524.81	$616.60	$851.14