Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $244.99 / $600.00 / $600.00	Facility		$244.99	$600.00	$600.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.78 / $174.78 / $219.77	Professional		$174.78	$174.78	$219.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $55.38 / $136.71 / $217.62	Facility		$55.38	$136.71	$217.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $140.75 / $229.93	Professional		$64.15	$140.75	$229.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.76 / $180.48 / $188.94	Facility		$111.76	$180.48	$188.94