Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $3.39 / $5.01	Facility		$1.82	$3.39	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.95 / $3.39	Professional		$1.00	$1.95	$3.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $3.24	Facility		$1.86	$1.86	$3.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.29	Professional		$1.95	$1.95	$2.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $3.55	Facility		$1.95	$1.95	$3.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.95 / $3.55	Professional		$1.58	$1.95	$3.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.34 / $75.86	Professional		$2.09	$2.34	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.29 / $3.98	Facility		$2.09	$2.29	$3.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $1.91	Facility		$1.86	$1.86	$1.91
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 $1.35 / $2.19 / $2.19	Facility		$1.35	$2.19	$2.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.19 / $2.19	Professional		$1.95	$2.19	$2.19
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.19	Professional		$1.95	$1.95	$2.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.57	Professional		$1.95	$1.95	$2.57