Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $130.91 / $136.68	Facility		$57.67	$130.91	$136.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $99.77	Professional		$57.67	$57.67	$99.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $117.00	Facility		$100.00	$100.00	$117.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $142.61 / $296.33	Professional		$89.00	$142.61	$296.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $12.86	Professional		$10.73	$10.73	$12.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $18.23	Professional		$18.23	$18.23	$18.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $104.86	Professional		$62.92	$62.92	$104.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $320.62	Professional		$89.00	$89.00	$320.62