Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.91 / $4.17	Professional		$1.26	$1.91	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.63 / $0.89	Facility		$0.42	$0.63	$0.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.63 / $0.85	Professional		$0.42	$0.63	$0.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.43 / $0.44	Facility		$0.36	$0.43	$0.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.44 / $0.44	Professional		$0.40	$0.44	$0.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $0.39 / $0.83	Facility		$0.37	$0.39	$0.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.37 / $0.43	Professional		$0.37	$0.37	$0.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.38 / $0.50	Professional		$0.38	$0.38	$0.50
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.19 / $0.36	Professional		$0.15	$0.19	$0.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.38 / $0.68	Professional		$0.38	$0.38	$0.68