Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $93.33 / $138.04	Facility		$72.44	$93.33	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $275.42	Professional		$32.36	$57.54	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $117.49	Professional		$58.88	$100.00	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $134.90	Professional		$44.67	$79.43	$134.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $57.54 / $95.50	Facility		$38.02	$57.54	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $93.33	Professional		$38.02	$57.54	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $63.10	Professional		$32.36	$38.90	$63.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $120.23	Facility		$75.86	$114.82	$120.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $144.54	Professional		$52.48	$89.13	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $123.03	Professional		$56.23	$85.11	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $141.25	Professional		$48.98	$81.28	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $89.13	Professional		$36.31	$63.10	$89.13