Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7,943.28 / $21,877.62	Facility		$6.76	$7,943.28	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $18.62 / $38.90	Professional		$6.03	$18.62	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $28.18	Professional		$24.55	$24.55	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $30.90 / $75.86	Facility		$11.75	$30.90	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.38 / $60.26	Professional		$11.75	$21.38	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $44.67 / $47.86	Facility		$31.62	$44.67	$47.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $33.11	Facility		$30.90	$30.90	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $29.51 / $60.26	Professional		$10.00	$29.51	$60.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $331.13	Facility		$120.23	$173.78	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $23.99 / $47.86	Professional		$10.23	$23.99	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $1,071.52	Facility		$162.18	$234.42	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.44 / $58.88	Professional		$10.00	$23.44	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $46.77	Professional		$24.55	$28.18	$46.77