Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $6.03	Facility		$2.00	$2.00	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.02	Professional		$1.00	$2.00	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.45	Professional		$1.29	$1.29	$2.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $6.17 / $8.32	Facility		$3.72	$6.17	$8.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.31 / $8.71	Professional		$3.80	$6.31	$8.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.17 / $50.12	Professional		$4.57	$6.17	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $5.89 / $7.08	Facility		$4.90	$5.89	$7.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Facility		$0.09	$0.09	$0.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
United Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.95 / $3.24	Professional		$1.29	$1.95	$3.24