Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $131.83 / $10,232.93	Facility		$3.80	$131.83	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $34.67 / $141.25	Professional		$5.01	$34.67	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $11.22 / $14.45	Professional		$3.98	$11.22	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $6.31 / $17.78	Professional		$2.75	$6.31	$17.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $6.31 / $16.60	Facility		$3.72	$6.31	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $6.31 / $16.60	Professional		$3.72	$6.31	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $32.36 / $56.23	Professional		$4.57	$32.36	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.59 / $13.49	Facility		$7.76	$12.59	$13.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $8.13 / $16.60	Professional		$2.75	$8.13	$16.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Facility		$66.07	$66.07	$83.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $6.61 / $13.49	Professional		$2.75	$6.61	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $645.65 / $5,754.40	Facility		$141.25	$645.65	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $6.61 / $16.22	Professional		$2.69	$6.61	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.59 / $12.59	Professional		$4.47	$7.59	$12.59