Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.51 / $1.51	Professional		$1.32	$1.51	$1.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.26	Facility		$0.21	$0.21	$0.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.26	Professional		$0.18	$0.18	$0.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.56 / $0.85	Facility		$0.34	$0.56	$0.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.62 / $0.83	Professional		$0.34	$0.62	$0.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.34 / $0.39	Facility		$0.31	$0.34	$0.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.31	Professional		$0.31	$0.31	$0.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.30 / $0.56	Facility		$0.28	$0.30	$0.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.38	Professional		$0.28	$0.28	$0.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.31 / $0.40	Professional		$0.28	$0.31	$0.40
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $0.16	Facility		$0.14	$0.14	$0.16
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.16 / $0.28	Professional		$0.14	$0.16	$0.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.31 / $0.54	Professional		$0.25	$0.31	$0.54