Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.16 / $373.96 / $512.29	Facility		$216.16	$373.96	$512.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.27 / $216.16 / $358.93	Professional		$153.27	$216.16	$358.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,433.71 / $1,433.71	Facility		$400.00	$1,433.71	$1,433.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $1,655.67 / $2,357.92	Professional		$360.00	$1,655.67	$2,357.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $445.46	Facility		$306.00	$306.00	$445.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.42 / $485.89 / $734.50	Facility		$242.42	$485.89	$734.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.83 / $570.97 / $734.50	Professional		$292.83	$570.97	$734.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.40 / $535.10 / $542.70	Facility		$356.40	$535.10	$542.70
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $360.00	Professional		$300.00	$300.00	$360.00