Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $45.76 / $45.76	Facility		$45.76	$45.76	$45.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $45.76 / $48.17	Professional		$45.76	$45.76	$48.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $167.04 / $167.04 / $167.04	Facility		$167.04	$167.04	$167.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,368.91 / $1,368.91 / $1,368.91	Facility		$1,368.91	$1,368.91	$1,368.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $170.47 / $205.82 / $1,035.17	Facility		$170.47	$205.82	$1,035.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $12.91 / $12.91	Professional		$12.91	$12.91	$12.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $348.42 / $885.00 / $79,999.20	Facility		$348.42	$885.00	$79,999.20