Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.98 / $7.76 / $10.23	Facility	26	$3.98	$7.76	$10.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $204.17	Professional		$39.81	$54.95	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $43.65	Professional		$40.74	$40.74	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $147.91	Professional		$51.29	$81.28	$147.91
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $3.55 / $5.25 / $10.72	Facility	26	$3.55	$5.25	$10.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $123.03	Professional		$48.98	$70.79	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $32.36 / $33.11	Professional		$2.75	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $7.08 / $7.41	Facility	26	$6.03	$7.08	$7.41
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $5.01 / $5.01	Facility	26	$5.01	$5.01	$5.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $141.25	Professional		$66.07	$95.50	$141.25
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $120.23	Professional		$58.88	$85.11	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $123.03	Professional		$48.98	$74.13	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $104.71	Professional		$54.95	$63.10	$104.71