Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $8.91	Facility		$3.02	$3.02	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $7.08	Professional		$2.00	$3.02	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $4.90	Professional		$3.39	$3.39	$4.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $9.33 / $15.14	Facility		$6.31	$9.33	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.55 / $14.45	Professional		$6.31	$9.55	$14.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.90 / $60.26	Professional		$4.47	$4.90	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.50 / $6.17	Facility		$4.47	$5.50	$6.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.62 / $6.61	Professional		$4.90	$5.62	$6.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $11.48 / $16.98	Facility		$5.75	$11.48	$16.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $7.24	Professional		$5.50	$5.50	$7.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.75 / $6.76	Professional		$5.37	$5.75	$6.76
United Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $2.51 / $3.02	Facility		$0.04	$2.51	$3.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.82 / $5.37	Professional		$2.57	$2.82	$5.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.75 / $10.00	Professional		$4.68	$5.75	$10.00