Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $53.70 / $229.09	Facility		$33.11	$53.70	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $75.86	Professional		$21.38	$33.11	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $46.77	Professional		$26.30	$38.02	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $75.86	Professional		$25.12	$39.81	$75.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.20 / $52.48	Facility		$22.91	$30.20	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $53.70	Professional		$22.39	$30.90	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $32.36 / $33.11	Professional		$15.85	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $44.67 / $45.71	Facility		$33.88	$44.67	$45.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $32.36	Facility		$30.90	$30.90	$32.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $66.07	Professional		$30.90	$45.71	$66.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $60.26	Professional		$33.11	$43.65	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $67.61	Professional		$26.92	$38.02	$67.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $24.55 / $43.65	Professional		$22.91	$24.55	$43.65