Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $2.69	Facility		$1.00	$1.00	$2.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $7.76	Professional		$1.00	$1.00	$7.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $0.81	Professional		$0.81	$0.81	$0.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.02 / $4.37	Facility		$2.00	$3.02	$4.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.02 / $4.27	Professional		$2.04	$3.02	$4.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $32.36 / $64.57	Professional		$1.38	$32.36	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.19	Facility		$1.95	$1.95	$2.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Professional		$1.78	$1.78	$1.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.78 / $3.80	Facility		$1.66	$1.78	$3.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $1.95	Professional		$1.66	$1.66	$1.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.24	Professional		$1.74	$1.74	$2.24
United Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.85 / $1.62	Professional		$0.68	$0.85	$1.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $3.09	Professional		$1.74	$1.74	$3.09