Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $42.66	Professional		$18.20	$36.31	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $120.23	Facility		$31.62	$51.29	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $100.00	Professional		$31.62	$51.29	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $52.48 / $57.54	Facility		$51.29	$52.48	$57.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $42.66	Professional		$17.78	$22.39	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $60.26	Professional		$45.71	$45.71	$60.26