Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $27.73 / $45.75	Facility		$27.73	$27.73	$45.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $27.73 / $27.73	Professional		$13.86	$27.73	$27.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.80 / $107.96 / $201.11	Facility		$80.80	$107.96	$201.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.14 / $85.14 / $85.14	Facility		$85.14	$85.14	$85.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $47.22 / $47.22	Professional		$47.22	$47.22	$47.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $104.59 / $326.66	Facility		$34.82	$104.59	$326.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $43.31	Professional		$43.31	$43.31	$43.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $89.00 / $79,999.20	Facility		$44.33	$89.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.40 / $103.95 / $198.85	Facility		$79.40	$103.95	$198.85