Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $14.13	Facility		$5.01	$5.01	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $6.03 / $12.02	Professional		$3.02	$6.03	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.92	Facility		$6.31	$6.31	$6.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $6.92	Professional		$5.37	$5.37	$6.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.45 / $23.44	Facility		$10.00	$14.45	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $22.91	Professional		$10.00	$14.79	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.94 / $60.26	Professional		$7.24	$7.94	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.23 / $10.47	Facility		$8.91	$10.23	$10.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.47 / $10.47	Professional		$9.12	$10.47	$10.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $9.12 / $16.98	Facility		$8.71	$9.12	$16.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $11.48	Professional		$8.71	$8.71	$11.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.12 / $11.75	Professional		$8.51	$9.12	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $3.98 / $4.79	Facility		$0.07	$3.98	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.47 / $8.51	Professional		$4.07	$4.47	$8.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.12 / $15.85	Professional		$7.41	$9.12	$15.85