Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.68 / $8.35 / $4,649.79	Facility		$3.68	$8.35	$4,649.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $3.68 / $6.12	Professional		$2.46	$3.68	$6.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $90.00	Facility		$80.00	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $28.20 / $37.88	Professional		$19.14	$28.20	$37.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $7.14	Facility		$3.57	$3.57	$7.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $2.11 / $12.12	Facility		$0.93	$2.11	$12.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $2.36 / $13.72	Professional		$1.27	$2.36	$13.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Professional		$50.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $8.59 / $8.71	Facility		$5.72	$8.59	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $4.41 / $9.59	Professional		$2.67	$4.41	$9.59