Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.99 / $54.95	Facility		$14.45	$23.99	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $18.20 / $32.36	Professional		$7.08	$18.20	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $22.91 / $51.29	Professional		$9.33	$22.91	$51.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $19.50 / $44.67	Facility		$8.71	$19.50	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $19.05 / $44.67	Professional		$8.32	$19.05	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $40.74 / $43.65	Facility		$30.20	$40.74	$43.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $29.51	Facility		$26.92	$26.92	$29.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $28.18 / $53.70	Professional		$11.22	$28.18	$53.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $144.54	Facility		$114.82	$114.82	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $23.44 / $43.65	Professional		$10.96	$23.44	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $20.42 / $38.90	Professional		$9.12	$20.42	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.30 / $43.65	Professional		$22.91	$26.30	$43.65