Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $87.10 / $134.90	Facility		$63.10	$87.10	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $109.65	Professional		$36.31	$48.98	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $128.82	Professional		$45.71	$75.86	$128.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $60.26 / $114.82	Facility		$36.31	$60.26	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $102.33	Professional		$35.48	$57.54	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $33.11	Professional		$29.51	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $93.33 / $102.33	Facility		$69.18	$93.33	$102.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $66.07	Facility		$64.57	$64.57	$66.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $123.03	Professional		$54.95	$89.13	$123.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $524.81	Facility		$208.93	$281.84	$524.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $109.65	Professional		$53.70	$75.86	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $363.08 / $645.65	Facility		$269.15	$363.08	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $128.82	Professional		$47.86	$74.13	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $97.72	Professional		$51.29	$56.23	$97.72