Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $61.66	Professional		$28.18	$34.67	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $51.29	Professional		$47.86	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $53.70 / $75.86	Professional		$28.18	$53.70	$75.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $67.61 / $114.82	Facility		$38.90	$67.61	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $112.20	Professional		$41.69	$72.44	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $33.11	Professional		$26.92	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $102.33	Facility		$67.61	$100.00	$102.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $112.20 / $128.82	Professional		$43.65	$112.20	$128.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $50.12	Professional		$38.90	$44.67	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $141.25	Professional		$45.71	$74.13	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29