Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $58.88 / $64.57	Professional		$28.18	$58.88	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $75.86 / $181.97	Facility		$47.86	$75.86	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $154.88	Professional		$47.86	$74.13	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $74.13 / $77.62	Facility		$72.44	$74.13	$77.62
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 $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $64.57	Professional		$26.92	$33.88	$64.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $91.20	Professional		$63.10	$63.10	$91.20