Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $9.77 / $22.91	Facility		$8.91	$9.77	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.23 / $19.05	Professional		$7.08	$10.23	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $38.90	Facility		$16.60	$25.12	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $38.02	Professional		$16.60	$25.12	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.45 / $64.57	Professional		$11.75	$14.45	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.98 / $17.38	Facility		$13.80	$16.98	$17.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.38 / $17.38	Professional		$15.49	$17.38	$17.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.14 / $33.11	Facility		$14.45	$15.14	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $16.98	Professional		$14.45	$14.45	$16.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $19.50	Professional		$14.79	$14.79	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $13.80	Professional		$5.75	$7.24	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $26.30	Professional		$14.79	$14.79	$26.30