Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $137.60 / $184.40	Facility		$50.50	$137.60	$184.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $159.32	Professional		$38.00	$50.50	$159.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $960.00 / $1,881.90	Professional		$40.00	$960.00	$1,881.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $69.50 / $91.77	Professional		$54.00	$69.50	$91.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $72.93 / $72.93	Professional		$72.93	$72.93	$72.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $104.00 / $135.74	Facility		$78.00	$104.00	$135.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Professional		$40.40	$40.40	$40.40