Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $66.07	Professional		$19.95	$26.92	$66.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $37.15 / $64.57	Facility		$23.99	$37.15	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $57.54	Professional		$23.99	$35.48	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $47.86 / $48.98	Facility		$36.31	$47.86	$48.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $74.13	Professional		$70.79	$70.79	$74.13