Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $21.38	Facility		$8.91	$8.91	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $10.96	Professional		$5.01	$7.94	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.05 / $28.84	Facility		$12.88	$19.05	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.62 / $28.84	Professional		$10.72	$18.62	$28.84
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 $18.20 / $21.88 / $60.26	Facility		$18.20	$21.88	$60.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $32.36	Professional		$15.14	$22.39	$32.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.08 / $12.02	Professional		$4.79	$7.08	$12.02