Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.70 / $1.70	Professional		$1.12	$1.70	$1.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.63 / $0.89	Facility		$0.40	$0.63	$0.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.63 / $0.85	Professional		$0.40	$0.63	$0.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $75.86	Professional		$30.20	$60.26	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.38 / $0.39	Facility		$0.33	$0.38	$0.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.39 / $0.39	Professional		$0.35	$0.39	$0.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.34 / $0.74	Facility		$0.32	$0.34	$0.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.38	Professional		$0.32	$0.32	$0.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.44	Professional		$0.34	$0.34	$0.44
United Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.16 / $0.31	Professional		$0.13	$0.16	$0.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.60	Professional		$0.34	$0.34	$0.60