Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $6.46	Facility		$2.00	$2.00	$6.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $5.01	Professional		$2.00	$3.02	$5.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $6.61 / $9.77	Facility		$4.47	$6.61	$9.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.92 / $10.00	Professional		$4.47	$6.92	$10.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $33.11 / $64.57	Professional		$4.90	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $4.68 / $4.79	Facility		$3.80	$4.68	$4.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.79 / $4.79	Professional		$4.17	$4.79	$4.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.17 / $9.12	Facility		$3.98	$4.17	$9.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $4.68	Professional		$3.98	$3.98	$4.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $5.37	Professional		$4.17	$4.17	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.04 / $3.89	Professional		$1.58	$2.04	$3.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $7.24	Professional		$4.17	$4.17	$7.24