Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $112.20 / $223.87	Facility		$33.11	$112.20	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $117.49	Professional		$22.91	$40.74	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $64.57	Professional		$35.48	$53.70	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $77.62 / $112.20	Facility		$36.31	$77.62	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $51.29	Professional		$21.88	$38.90	$51.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $100.00	Facility		$35.48	$50.12	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $107.15	Professional		$35.48	$50.12	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $75.86	Professional		$28.18	$33.88	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $67.61	Facility		$35.48	$35.48	$67.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $61.66 / $104.71	Facility		$35.48	$61.66	$104.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $41.69	Professional		$31.62	$31.62	$41.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $52.48 / $95.50	Facility		$37.15	$52.48	$95.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $40.74	Professional		$29.51	$35.48	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $41.69 / $41.69	Facility		$35.48	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $41.69	Professional		$20.89	$33.11	$41.69