Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $36.86	Facility		$20.83	$20.83	$36.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $29.28	Professional		$20.83	$20.83	$29.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $425.47	Facility		$65.00	$100.00	$425.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $85.00 / $199.76	Professional		$14.50	$85.00	$199.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $108.00 / $115.00	Facility		$106.00	$108.00	$115.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.23 / $312.23 / $312.23	Professional		$312.23	$312.23	$312.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$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