Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $15.49	Facility		$6.03	$6.03	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $20.89	Professional		$6.03	$7.94	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.50 / $33.11	Facility		$11.48	$19.50	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.05 / $30.90	Professional		$11.48	$19.05	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $32.36 / $33.11	Professional		$11.48	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $12.02	Facility		$11.22	$11.22	$12.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.42 / $29.51	Facility		$13.80	$20.42	$29.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $11.22	Professional		$9.33	$9.33	$11.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.88	Professional		$9.77	$9.77	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.79 / $9.12	Professional		$3.80	$4.79	$9.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $17.38	Professional		$9.77	$9.77	$17.38