Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $7.41 / $8.91	Facility		$4.27	$7.41	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.94	Professional		$3.98	$3.98	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.27 / $10.47	Facility		$4.07	$4.27	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $5.25	Professional		$4.27	$4.27	$5.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.75 / $13.49	Facility		$4.27	$5.75	$13.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.50 / $11.48	Professional		$4.27	$5.50	$11.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.68 / $75.86	Professional		$4.27	$4.68	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.68 / $8.91	Facility		$4.27	$4.68	$8.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.94 / $15.85	Facility		$5.01	$7.94	$15.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.89 / $5.89	Professional		$5.75	$5.89	$5.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $6.76 / $16.22	Facility		$5.37	$6.76	$16.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.47	Professional		$4.27	$4.27	$4.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $5.62	Professional		$4.27	$4.27	$5.62