Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $208.93	Facility		$37.15	$50.12	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.20 / $97.72	Professional		$19.50	$30.20	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $40.74	Professional		$18.20	$33.88	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $69.18	Professional		$22.91	$36.31	$69.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $27.54 / $46.77	Facility		$19.95	$27.54	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $47.86	Professional		$19.95	$27.54	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.36 / $33.11	Professional		$13.18	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $43.65	Facility		$33.88	$40.74	$43.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.84	Facility		$28.18	$28.18	$28.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $60.26	Professional		$28.18	$41.69	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $54.95	Professional		$28.84	$38.90	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $60.26	Professional		$23.44	$33.88	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $39.81	Professional		$20.89	$22.91	$39.81