Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $288.40	Professional		$28.84	$45.71	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $89.13	Professional		$70.79	$70.79	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $57.54	Facility		$43.65	$43.65	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $93.33	Professional		$37.15	$43.65	$93.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $120.23	Facility		$67.61	$67.61	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $120.23	Professional		$67.61	$67.61	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $100.00	Professional		$72.44	$81.28	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $66.07 / $134.90	Facility		$58.88	$66.07	$134.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $104.71	Professional		$58.88	$66.07	$104.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $7.24 / $69.18	Facility		$5.50	$7.24	$69.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.96 / $64.57	Professional		$5.50	$10.96	$64.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $10.96	Professional		$8.91	$10.96	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $25.12 / $44.67	Facility		$0.71	$25.12	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $70.79	Professional		$37.15	$54.95	$70.79