Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $10.00	Professional		$2.00	$2.00	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $18.20	Facility		$2.34	$2.34	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $3.02	Professional		$2.51	$2.51	$3.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $27.54 / $588.84	Facility		$17.78	$27.54	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $25.70	Professional		$17.78	$20.42	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $75.86	Professional		$30.20	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.51 / $7.76	Facility		$2.45	$2.51	$7.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $11.22 / $14.79	Facility		$3.72	$11.22	$14.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.72 / $3.72	Professional		$2.82	$3.72	$3.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.30 / $125.89	Facility		$11.22	$12.30	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $131.83	Professional		$125.89	$125.89	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $125.89 / $125.89	Professional		$12.59	$125.89	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $257.04	Professional		$134.90	$154.88	$257.04