Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $16.98	Facility		$7.08	$7.08	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $26.30	Professional		$5.01	$7.94	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $18.20 / $27.54	Facility		$11.75	$18.20	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $28.84	Professional		$12.02	$18.20	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $32.36 / $60.26	Professional		$12.59	$32.36	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $13.18	Facility		$12.30	$12.30	$13.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.39 / $32.36	Facility		$15.14	$22.39	$32.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $12.30	Professional		$10.47	$10.47	$12.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $14.13	Professional		$10.72	$10.72	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.25 / $10.00	Professional		$4.17	$5.25	$10.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $19.05	Professional		$10.72	$10.72	$19.05