Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $3.55	Facility		$1.00	$1.00	$3.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.02	Professional		$1.00	$1.00	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $3.31 / $5.62	Facility		$1.35	$3.31	$5.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $3.47 / $5.62	Professional		$1.45	$3.47	$5.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $32.36 / $64.57	Professional		$1.82	$32.36	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.51 / $2.63	Facility		$2.09	$2.51	$2.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.63 / $2.63	Professional		$2.34	$2.63	$2.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.29 / $5.01	Facility		$2.19	$2.29	$5.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.51	Professional		$2.19	$2.19	$2.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.95	Professional		$2.24	$2.24	$2.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.12 / $2.14	Professional		$0.87	$1.12	$2.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.98	Professional		$2.24	$2.24	$3.98