Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $1,000.00 / $18,620.87	Facility		$58.88	$1,000.00	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $245.47	Professional		$42.66	$67.61	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $69.18 / $77.62	Professional		$33.11	$69.18	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $131.83	Professional		$54.95	$89.13	$131.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $93.33 / $117.49	Facility		$53.70	$93.33	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $117.49	Professional		$53.70	$93.33	$117.49
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 $70.79 / $85.11 / $97.72	Facility		$70.79	$85.11	$97.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $125.89	Professional		$58.88	$100.00	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $114.82	Professional		$60.26	$85.11	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $6,165.95	Facility		$501.19	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $120.23	Professional		$45.71	$70.79	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $77.62	Professional		$46.77	$54.95	$77.62