Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $18.20	Facility		$7.08	$7.08	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.94 / $32.36	Professional		$3.98	$7.94	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $8.13 / $8.13	Facility		$5.37	$8.13	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $8.13	Professional		$6.92	$6.92	$8.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.05 / $29.51	Facility		$13.18	$19.05	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $29.51	Professional		$13.18	$19.05	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.47 / $64.57	Professional		$9.33	$10.47	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $11.48 / $13.49	Facility		$10.72	$11.48	$13.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.30 / $13.49	Professional		$11.48	$12.30	$13.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.75 / $21.88	Facility		$11.22	$11.75	$21.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.79	Professional		$11.22	$11.22	$14.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.75 / $15.14	Professional		$11.22	$11.75	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $5.25 / $6.17	Facility		$0.09	$5.25	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.17 / $10.96	Professional		$5.37	$6.17	$10.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $20.89	Professional		$9.77	$11.75	$20.89