Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $57.54 / $251.19	Facility		$9.77	$57.54	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $89.13	Professional		$23.44	$37.15	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $50.12	Professional		$23.99	$42.66	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $85.11	Professional		$27.54	$43.65	$85.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.11 / $57.54	Facility		$25.12	$33.11	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $58.88	Professional		$24.55	$33.88	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $32.36 / $33.11	Professional		$17.38	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $50.12	Facility		$35.48	$50.12	$50.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $35.48	Facility		$34.67	$34.67	$35.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $72.44	Professional		$34.67	$51.29	$72.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $66.07	Professional		$36.31	$47.86	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $74.13	Professional		$30.20	$41.69	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $47.86	Professional		$25.12	$26.92	$47.86