Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $5.75	Facility		$2.00	$2.00	$5.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.98	Professional		$1.00	$2.00	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $6.17 / $9.55	Facility		$3.98	$6.17	$9.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.17 / $9.33	Professional		$3.98	$6.17	$9.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.55 / $64.57	Professional		$2.95	$3.55	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $4.17 / $4.27	Facility		$3.39	$4.17	$4.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.27 / $4.27	Professional		$3.80	$4.27	$4.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.72 / $8.13	Facility		$3.55	$3.72	$8.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $4.17	Professional		$3.55	$3.55	$4.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $4.79	Professional		$3.72	$3.72	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.82 / $3.47	Professional		$1.41	$1.82	$3.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $6.46	Professional		$3.72	$3.72	$6.46