Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $43.65 / $213.80	Facility		$25.70	$43.65	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $35.48	Professional		$16.22	$19.95	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $52.48	Professional		$16.98	$19.05	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $60.26	Professional		$19.50	$33.11	$60.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.20 / $120.23	Facility		$18.62	$30.20	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $47.86	Professional		$17.78	$28.18	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $39.81	Facility		$30.20	$39.81	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $27.54	Facility		$25.12	$25.12	$27.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $58.88	Professional		$27.54	$40.74	$58.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $724.44	Facility		$281.84	$371.54	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $47.86	Professional		$25.70	$36.31	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $912.01	Facility		$380.19	$501.19	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $46.77	Professional		$19.05	$28.84	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.30 / $42.66	Professional		$22.91	$26.30	$42.66