Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3.72 / $239.88	Facility		$1.00	$3.72	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.58	Professional		$1.00	$1.00	$1.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $1.41	Facility		$1.32	$1.32	$1.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.74	Professional		$1.41	$1.41	$1.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $2.75 / $3.98	Facility		$1.41	$2.75	$3.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.82 / $4.27	Professional		$1.41	$2.82	$4.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $64.57 / $75.86	Professional		$1.55	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.78 / $2.69	Facility		$1.41	$1.78	$2.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Facility		$1.41	$1.41	$1.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Professional		$1.41	$1.41	$1.41
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.70	Professional		$1.41	$1.41	$1.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.86	Professional		$1.41	$1.41	$1.86