Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $22.91	Facility		$8.91	$8.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.00 / $19.95	Professional		$5.01	$10.00	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $13.18	Professional		$9.12	$9.12	$13.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $39.81	Facility		$16.60	$25.12	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $39.81	Professional		$16.60	$25.12	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.18 / $60.26	Professional		$11.75	$13.18	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.79 / $16.60	Facility		$13.80	$14.79	$16.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $16.98	Professional		$13.18	$15.14	$16.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.14 / $27.54	Facility		$14.13	$15.14	$27.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.50	Professional		$14.13	$14.13	$19.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.79 / $17.38	Professional		$14.13	$14.79	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $6.92 / $8.13	Facility		$0.12	$6.92	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.59 / $14.45	Professional		$6.92	$7.59	$14.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $26.30	Professional		$12.30	$14.79	$26.30