Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $32.36 / $44.67	Facility		$6.03	$32.36	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.75 / $28.18	Professional		$7.08	$11.75	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $17.38	Professional		$9.12	$12.88	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $21.88 / $43.65	Facility		$12.30	$21.88	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.38 / $38.02	Professional		$12.30	$21.38	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.36 / $60.26	Professional		$12.30	$32.36	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.88	Facility		$12.02	$12.02	$12.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $31.62	Facility		$14.79	$21.88	$31.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.02	Professional		$10.00	$10.00	$12.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $13.80	Professional		$10.47	$10.47	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.13 / $9.77	Professional		$4.07	$5.13	$9.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $18.62	Professional		$10.47	$10.47	$18.62