Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $141.25	Professional		$16.98	$20.89	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $30.20	Professional		$25.70	$25.70	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $30.90	Facility		$23.44	$23.44	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $30.90	Professional		$19.95	$23.44	$30.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $43.65	Facility		$33.88	$33.88	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $43.65	Professional		$33.88	$33.88	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $35.48	Professional		$29.51	$32.36	$35.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $34.67 / $40.74	Facility		$33.11	$34.67	$40.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $39.81	Professional		$33.11	$33.88	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $30.90 / $44.67	Facility		$2.69	$30.90	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.80 / $30.20	Professional		$2.69	$3.80	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.55 / $3.55	Professional		$2.88	$3.55	$3.55
United Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $11.75 / $25.12	Facility		$0.23	$11.75	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.38 / $33.11	Professional		$16.60	$17.38	$33.11