Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.59 / $15.85	Facility		$7.08	$7.59	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.60 / $30.90	Professional		$7.94	$16.60	$30.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.38 / $22.39 / $87.10	Professional	25	$21.38	$22.39	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.38 / $35.48	Professional		$10.72	$17.38	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $17.78 / $37.15	Facility		$8.71	$17.78	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.22 / $31.62	Professional		$8.51	$16.22	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.88 / $38.02	Facility		$24.55	$33.88	$38.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.30 / $45.71	Professional		$12.30	$26.30	$45.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.39 / $38.90	Professional		$12.59	$22.39	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $141.25 / $190.55	Facility		$125.89	$141.25	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $19.50 / $34.67	Professional		$10.23	$19.50	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $37.15	Professional		$19.50	$21.88	$37.15