Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $81.28	Professional		$15.85	$28.18	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.20 / $36.31	Professional		$17.78	$18.20	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.90 / $57.54	Professional		$16.60	$30.90	$57.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.18 / $46.77	Facility		$23.44	$28.18	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $48.98	Professional		$23.44	$30.20	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.02 / $28.84	Professional		$10.72	$12.02	$28.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.15 / $40.74	Facility		$31.62	$37.15	$40.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $53.70	Professional		$26.30	$41.69	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $38.02	Professional		$19.95	$20.89	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.84 / $50.12	Professional		$17.38	$28.84	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14