Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $23.44	Facility		$8.91	$8.91	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.91 / $20.42	Professional		$5.01	$8.91	$20.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $12.88	Professional		$8.32	$8.32	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $23.99 / $31.62	Facility		$12.59	$23.99	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $24.55 / $33.88	Professional		$14.45	$24.55	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $50.12	Professional		$13.49	$18.62	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.91 / $23.44	Facility		$19.05	$22.91	$23.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $33.88	Professional		$15.85	$22.91	$33.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.38 / $33.11	Facility		$14.45	$17.38	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.59 / $12.59	Professional		$5.01	$7.59	$12.59