Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $52.48 / $87.10	Facility		$48.98	$52.48	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $426.58	Professional		$28.84	$39.81	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $37.15	Professional		$23.99	$29.51	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $61.66	Professional		$30.20	$38.90	$61.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $60.26	Facility		$33.88	$40.74	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $60.26	Professional		$30.20	$40.74	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $33.11	Professional		$20.89	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $69.18 / $72.44	Facility		$48.98	$69.18	$72.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $100.00	Professional		$48.98	$64.57	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $66.07	Professional		$41.69	$47.86	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $95.50	Professional		$34.67	$52.48	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $70.79	Professional		$37.15	$43.65	$70.79