Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $5.37	Facility		$2.00	$2.00	$5.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.00	Professional		$1.00	$2.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $5.75 / $7.76	Facility		$3.47	$5.75	$7.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.89 / $7.76	Professional		$3.89	$5.89	$7.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.25 / $36.31	Facility		$4.37	$5.25	$36.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.25 / $7.76	Professional		$3.63	$5.25	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.74 / $2.88	Professional		$1.15	$1.74	$2.88