Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $18.20	Facility		$7.08	$7.08	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.94 / $18.20	Professional		$3.98	$7.94	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.51	Facility		$8.13	$8.13	$8.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $8.71	Professional		$6.92	$6.92	$8.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $15.85 / $27.54	Facility		$7.76	$15.85	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $17.38 / $28.18	Professional		$8.13	$17.38	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.23 / $64.57	Professional		$9.33	$10.23	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.18 / $13.49	Facility		$12.02	$13.18	$13.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.49 / $13.49	Professional		$11.75	$13.49	$13.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.75 / $21.88	Facility		$11.22	$11.75	$21.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.79	Professional		$11.22	$11.22	$14.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.75 / $15.14	Professional		$10.96	$11.75	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $5.13 / $6.17	Facility		$0.09	$5.13	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.75 / $10.96	Professional		$5.25	$5.75	$10.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $20.42	Professional		$9.55	$11.75	$20.42