Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $4.90 / $812.83	Facility		$1.91	$4.90	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $91.20	Professional		$2.00	$2.00	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.69 / $2.69	Facility		$2.51	$2.69	$2.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.02	Professional		$2.69	$2.69	$3.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.01 / $85.11	Facility		$2.69	$5.01	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.47 / $79.43	Professional		$2.69	$4.47	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.09 / $75.86	Professional		$2.82	$3.09	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.88 / $5.75	Facility		$2.75	$2.88	$5.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.00 / $6.61	Facility		$1.86	$2.00	$6.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.00	Professional		$1.86	$1.86	$2.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.95 / $50.12	Facility		$1.74	$2.95	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.95 / $3.31	Professional		$2.69	$2.95	$3.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.02	Professional		$2.69	$2.69	$3.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.47	Professional		$2.69	$2.69	$3.47