Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.35 / $794.33	Facility		$1.07	$1.35	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.45 / $354.81	Professional		$1.05	$1.45	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $100.00	Professional		$1.12	$1.12	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.62 / $0.62	Facility		$0.56	$0.62	$0.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $0.74	Professional		$0.62	$0.62	$0.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.79 / $10.47	Facility		$0.62	$0.79	$10.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.68 / $4.68	Professional		$0.62	$0.68	$4.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $70.79 / $79.43	Professional		$30.20	$70.79	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.78 / $1.26	Facility		$0.63	$0.78	$1.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.78 / $5.01	Facility		$0.63	$1.78	$5.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $0.91 / $0.98	Professional		$0.91	$0.91	$0.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.86 / $4.17	Facility		$1.26	$1.86	$4.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.68 / $0.68	Professional		$0.62	$0.68	$0.68
United Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.62	Facility		$0.62	$0.62	$0.62
United Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $0.71	Professional		$0.62	$0.62	$0.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $0.79	Professional		$0.62	$0.62	$0.79