Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.95 / $2.68	Facility		$1.12	$1.95	$2.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $1.12 / $24.50	Professional		$0.76	$1.12	$24.50
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 $8.66 / $11.63 / $11.63	Professional		$8.66	$11.63	$11.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $2.20	Facility		$1.10	$1.10	$2.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.88 / $3.37	Facility		$0.42	$0.88	$3.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.88 / $3.37	Professional		$0.42	$0.88	$3.37
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 $1.23 / $1.23 / $2.43	Facility		$1.23	$1.23	$2.43
United Facility/Professional Facility Modifier Low / Median / High Price $235.83 / $235.83 / $235.83	Facility		$235.83	$235.83	$235.83
United Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $235.83 / $283.00	Professional		$235.83	$235.83	$283.00