Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $201.99 / $229.23	Facility		$96.72	$201.99	$229.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $96.72 / $126.07	Professional		$96.72	$96.72	$126.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $73.00 / $200.16	Professional		$65.70	$73.00	$200.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Professional		$58.65	$58.65	$58.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $159.78 / $159.78	Professional		$159.78	$159.78	$159.78
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20