Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.72 / $257.04	Facility		$5.01	$10.72	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $60.26	Professional		$5.01	$5.01	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $10.23	Facility		$4.90	$4.90	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $6.17	Professional		$5.13	$5.13	$6.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $5.13 / $10.72	Facility		$1.55	$5.13	$10.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $5.13 / $10.72	Professional		$2.04	$5.13	$10.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.89 / $75.86	Professional		$5.25	$5.89	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.89 / $10.00	Facility		$5.25	$5.89	$10.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.62	Facility		$5.37	$5.37	$5.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $6.61	Professional		$5.62	$5.62	$6.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.75 / $5.75	Professional		$5.13	$5.75	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.75	Professional		$5.13	$5.13	$5.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $6.76	Professional		$5.13	$5.13	$6.76