Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.66	Professional		$1.17	$1.17	$1.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.69 / $75.86	Professional		$2.19	$2.69	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.14 / $2.63	Facility		$2.04	$2.14	$2.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.95 / $4.37	Facility		$2.00	$2.95	$4.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $3.02 / $5.75	Facility		$2.51	$3.02	$5.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Professional		$1.78	$1.78	$1.78
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.31 / $6.03	Professional		$2.00	$3.31	$6.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $3.09	Professional		$1.78	$1.78	$3.09