Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $12.30	Facility		$5.01	$5.01	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $16.98	Professional		$5.01	$7.08	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $16.98 / $35.48	Facility		$8.91	$16.98	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.60 / $31.62	Professional		$9.33	$16.60	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $32.36 / $60.26	Professional		$9.12	$32.36	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $9.55	Facility		$8.91	$8.91	$9.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $23.44	Facility		$11.22	$16.60	$23.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $8.91	Professional		$7.59	$7.59	$8.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $10.23	Professional		$7.94	$7.94	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.89 / $7.41	Professional		$3.02	$3.89	$7.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $13.80	Professional		$7.94	$7.94	$13.80