Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Facility		$2.14	$2.14	$2.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $6.17	Professional		$1.00	$1.00	$6.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $0.81	Professional		$0.81	$0.81	$0.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $1.95 / $3.16	Facility		$0.91	$1.95	$3.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $2.00 / $3.16	Professional		$0.93	$2.00	$3.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $32.36 / $64.57	Professional		$1.12	$32.36	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.58 / $1.62	Facility		$1.29	$1.58	$1.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.62 / $1.62	Professional		$1.41	$1.62	$1.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.41 / $3.09	Facility		$1.32	$1.41	$3.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.58	Professional		$1.32	$1.32	$1.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.82	Professional		$1.38	$1.38	$1.82
United Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.68 / $1.29	Professional		$0.52	$0.68	$1.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $2.45	Professional		$1.38	$1.38	$2.45