Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $489.78 / $1,000.00	Professional		$23.44	$489.78	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $38.90	Professional		$14.13	$19.50	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.18 / $46.77	Professional		$15.49	$28.18	$46.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $66.07 / $109.65	Facility		$36.31	$66.07	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $109.65	Professional		$44.67	$66.07	$109.65
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 $37.15 / $57.54 / $100.00	Facility		$37.15	$57.54	$100.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $70.79	Professional		$33.11	$54.95	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $77.62	Professional		$29.51	$44.67	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.39 / $45.71	Professional		$13.49	$22.39	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55