Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $361.67 / $542.00	Facility		$24.22	$361.67	$542.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $309.27 / $410.80 / $891.00	Facility	25	$309.27	$410.80	$891.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Facility		$176.00	$176.00	$176.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.00 / $381.00 / $381.00	Facility		$381.00	$381.00	$381.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $34.50 / $204.31	Facility		$19.53	$34.50	$204.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $29.07 / $42.88	Facility		$18.66	$29.07	$42.88