Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $28.84 / $190.55	Facility		$14.13	$28.84	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $21.88 / $69.18	Professional		$8.91	$21.88	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $23.44	Professional		$8.91	$12.02	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.60 / $35.48	Professional		$10.00	$16.60	$35.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.02 / $16.22	Facility		$8.51	$12.02	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $16.22	Professional		$8.51	$11.48	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $32.36 / $50.12	Professional		$14.13	$32.36	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.05 / $23.44	Facility		$13.49	$19.05	$23.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $33.11	Professional		$15.85	$20.42	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $20.42	Professional		$12.59	$14.79	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $29.51	Professional		$10.00	$15.14	$29.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $24.55	Professional		$12.88	$15.14	$24.55