Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Facility		$2.24	$2.24	$2.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.39	Professional		$1.00	$1.00	$3.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $0.85	Professional		$0.85	$0.85	$0.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.45 / $3.63	Facility		$1.58	$2.45	$3.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.45 / $3.72	Professional		$1.58	$2.45	$3.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.41 / $64.57	Professional		$1.15	$1.41	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.62 / $1.66	Facility		$1.35	$1.62	$1.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.66 / $1.66	Professional		$1.51	$1.66	$1.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.45 / $3.16	Facility		$1.38	$1.45	$3.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.62	Professional		$1.38	$1.38	$1.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.86	Professional		$1.45	$1.45	$1.86
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.71 / $1.35	Professional		$0.56	$0.71	$1.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $2.51	Professional		$1.45	$1.45	$2.51