Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.89 / $247.86 / $247.86	Facility		$218.89	$247.86	$247.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $218.89 / $254.17	Professional		$145.37	$218.89	$254.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $428.48 / $505.72 / $1,392.99	Facility		$428.48	$505.72	$1,392.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $563.54 / $1,351.44 / $2,290.94	Professional		$563.54	$1,351.44	$2,290.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $216.38 / $216.38	Professional		$216.38	$216.38	$216.38
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 $862.95 / $862.95 / $862.95	Professional		$862.95	$862.95	$862.95
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 $432.85 / $519.91 / $527.29	Facility		$432.85	$519.91	$527.29
United Facility/Professional Facility Modifier Low / Median / High Price $598.24 / $598.24 / $598.24	Facility		$598.24	$598.24	$598.24
United Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $305.48	Professional		$254.57	$254.57	$305.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38