Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $3.39	Facility		$1.00	$1.00	$3.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $5.01	Professional		$1.00	$1.00	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Facility		$1.51	$1.51	$1.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.58	Professional		$1.29	$1.29	$1.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.63 / $5.13	Facility		$2.45	$3.63	$5.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.72 / $5.13	Professional		$2.45	$3.72	$5.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.95 / $60.26	Professional		$1.74	$1.95	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.14 / $2.51	Facility		$2.00	$2.14	$2.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.29 / $2.51	Professional		$2.14	$2.29	$2.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.24 / $4.07	Facility		$2.09	$2.24	$4.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $2.75	Professional		$2.09	$2.09	$2.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.19 / $2.82	Professional		$2.04	$2.19	$2.82
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.98 / $1.15	Facility		$0.02	$0.98	$1.15
United Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.07 / $2.04	Professional		$1.00	$1.07	$2.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.19 / $3.89	Professional		$1.82	$2.19	$3.89