Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $6.61	Facility		$2.00	$2.00	$6.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $3.02 / $5.01	Professional		$1.00	$3.02	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $3.16	Facility		$2.88	$2.88	$3.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.45 / $2.88	Professional		$2.04	$2.45	$2.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.61 / $11.75	Facility		$4.79	$6.61	$11.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.92 / $11.22	Professional		$4.79	$6.92	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.80 / $64.57	Professional		$3.39	$3.80	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.37 / $4.90	Facility		$4.07	$4.37	$4.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.47 / $4.90	Professional		$4.17	$4.47	$4.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.37 / $7.94	Facility		$4.07	$4.37	$7.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.37	Professional		$4.07	$4.07	$5.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.27 / $5.50	Professional		$4.07	$4.27	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $1.91 / $2.24	Facility		$0.03	$1.91	$2.24
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.09 / $3.98	Professional		$1.91	$2.09	$3.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.27 / $7.59	Professional		$3.55	$4.27	$7.59