Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $1.26 / $1.26	Professional		$0.22	$1.26	$1.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.24 / $0.58	Facility		$0.24	$0.24	$0.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.31	Professional		$0.26	$0.26	$0.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.31 / $0.81	Facility		$0.26	$0.31	$0.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.32 / $0.76	Professional		$0.26	$0.32	$0.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.25 / $0.50	Facility		$0.24	$0.25	$0.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Facility		$0.28	$0.28	$0.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Facility		$0.26	$0.26	$0.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
United Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Facility		$0.26	$0.26	$0.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.27	Professional		$0.26	$0.26	$0.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.34	Professional		$0.26	$0.26	$0.34