Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $12.02	Professional		$6.03	$8.91	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.14 / $28.18	Facility		$10.47	$15.14	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $28.84	Professional		$10.96	$15.49	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $21.88	Facility		$18.20	$21.88	$21.88
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 Professional Modifier Low / Median / High Price $5.50 / $7.08 / $12.02	Professional		$5.50	$7.08	$12.02