Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $6.31	Facility		$2.00	$2.00	$6.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $3.02 / $6.03	Professional		$1.00	$3.02	$6.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $4.79	Professional		$3.31	$3.31	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.82 / $2.82	Facility		$2.69	$2.82	$2.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.82	Professional		$2.40	$2.40	$2.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $5.50 / $9.77	Facility		$2.75	$5.50	$9.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $6.03 / $9.77	Professional		$2.82	$6.03	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.07 / $5.01	Professional		$3.63	$4.07	$5.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $4.68 / $4.79	Facility		$3.72	$4.68	$4.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.79 / $4.79	Professional		$4.17	$4.79	$4.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.17 / $7.76	Facility		$3.98	$4.17	$7.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $5.25	Professional		$3.98	$3.98	$5.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.07 / $5.37	Professional		$3.89	$4.07	$5.37
United Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $2.63 / $3.39	Facility		$0.33	$2.63	$3.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.19 / $3.80	Professional		$1.86	$2.19	$3.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.07 / $7.24	Professional		$3.39	$4.07	$7.24