Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.57 / $168.23 / $168.23	Facility		$148.57	$168.23	$168.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $148.57 / $173.83	Professional		$98.36	$148.57	$173.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $288.29 / $345.72 / $952.26	Facility		$288.29	$345.72	$952.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $923.86 / $1,566.15	Professional		$199.34	$923.86	$1,566.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.45 / $65.51 / $118.95	Facility		$47.45	$65.51	$118.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $589.91 / $589.91	Professional		$589.91	$589.91	$589.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.89 / $360.46 / $360.46	Facility		$295.89	$360.46	$360.46
United Facility/Professional Facility Modifier Low / Median / High Price $408.95 / $408.95 / $408.95	Facility		$408.95	$408.95	$408.95
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $411.44	Professional		$342.87	$342.87	$411.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.06 / $7.06	Professional		$7.06	$7.06	$7.06