Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.10 / $938.10 / $1,236.36	Facility		$938.10	$938.10	$1,236.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.03 / $242.10 / $367.87	Professional		$242.03	$242.10	$367.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $260.61 / $427.63	Professional		$61.28	$260.61	$427.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $106.20 / $106.20	Professional		$106.20	$106.20	$106.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $184.86 / $475.38 / $917.67	Facility		$184.86	$475.38	$917.67
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 $302.00 / $484.00 / $79,999.20	Facility		$302.00	$484.00	$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 $66.73 / $66.73 / $66.73	Professional		$66.73	$66.73	$66.73