Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $70.79	Professional		$37.15	$44.67	$70.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $128.82	Facility		$63.10	$100.00	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $131.83	Professional		$66.07	$100.00	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $93.33	Facility		$75.86	$89.13	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54