Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $18.09 / $198.14	Facility		$12.29	$18.09	$198.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $11.51 / $11.51	Facility		$11.51	$11.51	$11.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $11.51 / $11.51	Professional		$11.51	$11.51	$11.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $28.35 / $28.35	Professional		$28.35	$28.35	$28.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $200.17 / $200.17	Professional		$200.17	$200.17	$200.17
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 $11.51 / $11.51 / $79,999.20	Facility		$11.51	$11.51	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $11.51 / $11.51	Facility		$11.51	$11.51	$11.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $11.51 / $11.51	Professional		$11.51	$11.51	$11.51