Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $3,235.94	Facility		$660.69	$1,000.00	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $851.14	Professional		$426.58	$562.34	$851.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $707.95 / $3,311.31	Facility		$645.65	$707.95	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,202.26	Professional		$562.34	$707.95	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $776.25 / $1,230.27	Facility		$645.65	$776.25	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,230.27 / $2,137.96	Facility		$707.95	$1,230.27	$2,137.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $851.14	Professional		$645.65	$645.65	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $794.33	Professional		$295.12	$295.12	$794.33