Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $18.62 / $61.66	Facility		$10.72	$18.62	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $21.88	Professional		$7.94	$10.00	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $23.44	Professional		$7.76	$10.47	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.75 / $25.12	Professional		$7.08	$11.75	$25.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.00 / $16.22	Facility		$7.76	$10.00	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $14.79	Professional		$7.76	$9.77	$14.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $23.99 / $33.11	Professional		$8.32	$23.99	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $18.62 / $20.89	Facility		$13.49	$18.62	$20.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $28.18	Professional		$12.88	$17.78	$28.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $97.72	Facility		$63.10	$63.10	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $16.60	Professional		$9.12	$12.02	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $138.04 / $190.55	Facility		$125.89	$138.04	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $24.55	Professional		$8.32	$12.59	$24.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $22.39	Professional		$12.02	$12.88	$22.39