Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $40.52 / $486.23	Facility		$17.85	$40.52	$486.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $17.85 / $29.64	Professional		$3.74	$17.85	$29.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $111.49 / $111.49	Facility		$80.00	$111.49	$111.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $136.72 / $183.38	Professional		$136.72	$136.72	$183.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $34.64	Facility		$17.32	$17.32	$34.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Professional		$17.32	$17.32	$17.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $41.54 / $59.18	Facility		$20.46	$41.54	$59.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $46.04 / $59.18	Professional		$25.03	$46.04	$59.18
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 $27.72 / $41.62 / $42.21	Facility		$27.72	$41.62	$42.21
United Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $24.46	Professional		$20.38	$20.38	$24.46