Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $154.88 / $562.34	Facility		$16.60	$154.88	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.47 / $50.12	Professional		$5.62	$10.47	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.72 / $14.45	Professional		$5.89	$10.72	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $30.90	Professional		$17.78	$24.55	$30.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.18 / $56.23	Facility		$9.55	$13.18	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.59 / $17.38	Professional		$8.71	$12.59	$17.38
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 $11.22 / $15.85 / $21.38	Facility		$11.22	$15.85	$21.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.71	Facility		$8.13	$8.13	$8.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.88 / $18.62	Professional		$8.71	$12.88	$18.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $331.13	Facility		$120.23	$173.78	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.30 / $18.20	Professional		$8.32	$12.30	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $398.11	Facility		$165.96	$223.87	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.49 / $21.38	Professional		$8.51	$13.49	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.51 / $13.80	Professional		$7.24	$8.51	$13.80