Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $16.60	Facility		$7.08	$7.08	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $8.91	Professional		$3.98	$5.01	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $6.03	Professional		$4.37	$4.37	$6.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $13.80 / $29.51	Facility		$5.89	$13.80	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $12.30 / $21.88	Professional		$5.89	$12.30	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.72 / $64.57	Professional		$10.47	$10.72	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.23 / $10.96	Facility		$8.32	$10.23	$10.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.47 / $10.96	Professional		$9.33	$10.47	$10.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $15.14 / $22.39	Facility		$9.12	$15.14	$22.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $10.47	Professional		$8.71	$8.71	$10.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.12 / $11.75	Professional		$8.51	$9.12	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $15.49 / $15.49	Facility		$4.79	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.13 / $9.12	Professional		$4.47	$5.13	$9.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.12 / $15.85	Professional		$7.41	$9.12	$15.85