Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.34 / $108.34 / $108.34	Facility		$108.34	$108.34	$108.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $33.83 / $65.91	Professional		$33.83	$33.83	$65.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.58 / $129.05 / $240.41	Facility		$93.58	$129.05	$240.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $89.82 / $89.82	Facility		$89.82	$89.82	$89.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.19 / $113.00 / $347.43	Facility		$38.19	$113.00	$347.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $106.00 / $79,999.20	Facility		$48.62	$106.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.35 / $124.20 / $237.71	Facility		$91.35	$124.20	$237.71