Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.11 / $18,620.87	Facility		$13.80	$33.11	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $36.31	Professional		$6.03	$12.02	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.78 / $38.02	Professional		$9.33	$17.78	$38.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.05 / $43.65	Facility		$11.48	$19.05	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.62 / $35.48	Professional		$11.75	$18.62	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $32.36 / $56.23	Professional		$9.33	$32.36	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $26.92 / $29.51	Facility		$19.50	$26.92	$29.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $19.50	Facility		$18.62	$18.62	$19.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.50 / $35.48	Professional		$10.00	$19.50	$35.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $331.13	Facility		$120.23	$173.78	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.20 / $28.18	Professional		$10.23	$18.20	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $1,071.52	Facility		$162.18	$234.42	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $18.20 / $35.48	Professional		$9.77	$18.20	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.98 / $28.18	Professional		$14.79	$16.98	$28.18