Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $40.74	Professional		$23.99	$33.11	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $58.88	Professional		$45.71	$48.98	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $70.79	Professional		$44.67	$50.12	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.88 / $36.31	Facility		$27.54	$33.88	$36.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $50.12	Facility		$46.77	$46.77	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $107.15	Professional		$50.12	$72.44	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $97.72	Professional		$47.86	$60.26	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,454.71 / $37,153.52	Facility		$1,023.29	$2,454.71	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $93.33	Professional		$34.67	$47.86	$93.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $69.18	Professional		$36.31	$39.81	$69.18