Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.48 / $451.86 / $7,327.67	Facility		$171.48	$451.86	$7,327.67
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $818.03 / $2,931.72 / $9,653.07	Facility	25	$818.03	$2,931.72	$9,653.07
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $162.21 / $384.47 / $719.39	Professional	25	$162.21	$384.47	$719.39
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $168.04 / $302.47 / $588.14	Professional	25	$168.04	$302.47	$588.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $790.22 / $790.22 / $790.22	Facility		$790.22	$790.22	$790.22
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $329.56 / $329.56 / $329.56	Professional	25	$329.56	$329.56	$329.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,488.00 / $5,488.00 / $5,488.00	Facility		$5,488.00	$5,488.00	$5,488.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $341.65 / $1,491.35	Facility		$157.47	$341.65	$1,491.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $244.02 / $328.97 / $348.40	Facility		$244.02	$328.97	$348.40