Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $18.62	Facility		$7.08	$7.08	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $18.62	Professional		$6.03	$10.00	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.44 / $37.15	Facility		$14.45	$23.44	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $35.48	Professional		$14.45	$23.99	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $64.57	Professional		$9.77	$11.75	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.80 / $15.14	Facility		$11.22	$13.80	$15.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $14.79	Professional		$12.59	$14.13	$14.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.30 / $26.92	Facility		$11.75	$12.30	$26.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $14.13	Professional		$11.75	$11.75	$14.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.85	Professional		$12.02	$12.02	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.92 / $13.49	Professional		$5.50	$6.92	$13.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $21.38	Professional		$12.02	$12.02	$21.38