Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $5.13	Facility		$2.00	$2.00	$5.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.00	Professional		$1.00	$2.00	$2.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.79 / $7.24	Facility		$3.02	$4.79	$7.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $4.37 / $7.24	Professional		$2.51	$4.37	$7.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $50.12	Professional		$8.51	$11.48	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.25 / $12.02	Facility		$4.37	$5.25	$12.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.50 / $7.76	Professional		$3.63	$5.50	$7.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.75	Professional		$5.62	$5.62	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.74 / $2.88	Professional		$1.15	$1.74	$2.88