Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $287.99 / $1,291.39	Facility		$102.14	$287.99	$1,291.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $121.70 / $486.84	Professional		$102.14	$121.70	$486.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $101.00 / $330.00	Professional		$90.90	$101.00	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $119.90 / $119.90	Professional		$119.90	$119.90	$119.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $119.27 / $119.27	Professional		$119.27	$119.27	$119.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $80.00	Professional		$45.00	$50.00	$80.00
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