Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $22.91 / $38.02	Facility		$8.91	$22.91	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $12.02	Professional		$3.98	$6.03	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $7.08	Professional		$5.25	$5.25	$7.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $16.98 / $41.69	Facility		$6.76	$16.98	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $16.60 / $26.92	Professional		$6.76	$16.60	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.22 / $60.26	Professional		$10.23	$11.22	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.45 / $14.79	Facility		$11.75	$14.45	$14.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.79 / $14.79	Professional		$13.18	$14.79	$14.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $21.38 / $31.62	Facility		$12.88	$21.38	$31.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $14.79	Professional		$12.30	$12.30	$14.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $16.60	Professional		$12.02	$12.88	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $18.20 / $18.20	Facility		$7.24	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.41 / $10.47	Professional		$5.25	$7.41	$10.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $22.39	Professional		$10.47	$12.88	$22.39