Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $13.18 / $23.99	Facility		$5.01	$13.18	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $10.96	Professional		$3.98	$6.03	$10.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $23.44	Facility		$10.00	$15.14	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $22.91	Professional		$10.23	$15.14	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $64.57	Professional		$7.08	$8.71	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10.00 / $10.23	Facility		$8.13	$10.00	$10.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.23 / $10.23	Professional		$9.33	$10.23	$10.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.91 / $19.50	Facility		$8.51	$8.91	$19.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $10.00	Professional		$8.51	$8.51	$10.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $11.48	Professional		$8.91	$8.91	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.37 / $8.32	Professional		$3.39	$4.37	$8.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $15.85	Professional		$8.91	$8.91	$15.85