Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $562.34 / $741.31	Facility		$416.87	$562.34	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $549.54	Professional		$288.40	$338.84	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $316.23	Professional		$295.12	$309.03	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $933.25	Professional		$338.84	$537.03	$933.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $758.58	Facility		$275.42	$446.68	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $707.95	Professional		$269.15	$416.87	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $630.96	Facility		$436.52	$630.96	$630.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $436.52	Facility		$426.58	$426.58	$436.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $912.01	Professional		$426.58	$630.96	$912.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $794.33	Professional		$389.05	$602.56	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $891.25	Professional		$338.84	$512.86	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $524.81	Professional		$275.42	$371.54	$524.81