Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $16.22	Facility		$7.08	$7.08	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $6.03 / $7.94	Professional		$3.02	$6.03	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.45 / $21.88	Facility		$9.77	$14.45	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.13 / $21.88	Professional		$8.13	$14.13	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $50.12	Professional		$12.88	$25.70	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.60 / $16.60	Facility		$13.80	$16.60	$16.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.98 / $24.55	Professional		$11.48	$16.98	$24.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.37 / $9.12	Professional		$3.63	$5.37	$9.12