Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.49 / $70.79	Facility		$11.75	$15.49	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $21.38	Professional		$6.03	$7.59	$21.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.78 / $21.38	Professional		$15.49	$17.78	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.75 / $21.88	Professional		$7.41	$11.75	$21.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.91 / $15.14	Facility		$6.76	$8.91	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.91 / $15.14	Professional		$6.46	$8.91	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $32.36 / $33.11	Professional		$4.07	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.18 / $14.13	Facility		$10.72	$13.18	$14.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.49 / $19.50	Professional		$9.12	$13.49	$19.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $17.78	Professional		$9.33	$12.59	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $19.05	Professional		$7.59	$10.96	$19.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.59 / $13.49	Professional		$7.08	$7.59	$13.49