Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $102.33 / $151.36	Facility		$91.20	$102.33	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $117.49	Professional		$60.26	$77.62	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $154.88	Professional		$61.66	$83.18	$154.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $120.23	Facility		$64.57	$87.10	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $120.23	Professional		$64.57	$83.18	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $56.23	Professional		$32.36	$33.88	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $147.91 / $158.49	Facility		$104.71	$147.91	$158.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $194.98	Professional		$89.13	$128.82	$194.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $131.83	Professional		$83.18	$97.72	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $208.93	Professional		$77.62	$112.20	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $117.49	Professional		$61.66	$83.18	$117.49