Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $34.67 / $43.65	Professional		$16.98	$34.67	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $46.77 / $114.82	Facility		$30.20	$46.77	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $95.50	Professional		$30.90	$45.71	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $43.65 / $44.67	Facility		$42.66	$43.65	$44.67
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 $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $41.69	Professional		$16.98	$21.38	$41.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $57.54	Professional		$37.15	$37.15	$57.54