Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.48 / $538.48 / $708.98	Facility		$538.48	$538.48	$708.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $127.22 / $188.85	Professional		$127.22	$127.22	$188.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $250.24 / $250.24	Professional		$32.13	$250.24	$250.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $36.70 / $36.70	Professional		$36.70	$36.70	$36.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $97.75 / $287.39 / $525.16	Facility		$97.75	$287.39	$525.16
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 $184.00 / $295.00 / $79,999.20	Facility		$184.00	$295.00	$79,999.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $40.44 / $40.44	Professional		$40.44	$40.44	$40.44