Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $15.14	Professional		$7.94	$12.02	$15.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $32.36 / $40.74	Facility		$16.22	$32.36	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $27.54 / $40.74	Professional		$13.49	$27.54	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $70.79	Professional		$44.67	$50.12	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.88 / $33.88	Facility		$23.99	$33.88	$33.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $23.44	Professional		$22.91	$22.91	$23.44