Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $61.66	Professional		$18.20	$25.12	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $67.61	Professional		$20.42	$36.31	$67.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $35.48 / $64.57	Facility		$27.54	$35.48	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $61.66	Professional		$27.54	$35.48	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $33.11	Professional		$14.45	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $47.86 / $50.12	Facility		$32.36	$47.86	$50.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $67.61	Professional		$33.88	$52.48	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $66.07	Professional		$33.11	$47.86	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $61.66	Professional		$23.44	$34.67	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61