Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $163.82 / $321.14	Facility		$0.49	$163.82	$321.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.37 / $0.49	Professional		$0.31	$0.37	$0.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $102.83 / $153.31 / $350.00	Facility		$102.83	$153.31	$350.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $5,795.38 / $5,795.38	Professional		$0.63	$5,795.38	$5,795.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.79 / $1.24	Professional		$0.37	$0.79	$1.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $40.86 / $175.26	Facility		$0.48	$40.86	$175.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.70 / $0.93	Professional		$0.32	$0.70	$0.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $0.66 / $0.67	Facility		$0.47	$0.66	$0.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.29 / $134.62 / $257.51	Facility		$87.29	$134.62	$257.51