Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $97.04 / $523.16	Facility		$52.68	$97.04	$523.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $87.35 / $106.08	Professional		$74.02	$87.35	$106.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $176.04 / $209.04	Professional		$55.64	$176.04	$209.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.35 / $121.35 / $361.76	Facility		$121.35	$121.35	$361.76
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 $200.00 / $320.00 / $79,999.20	Facility		$200.00	$320.00	$79,999.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $16.82 / $16.82	Professional		$16.82	$16.82	$16.82