Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $117.88	Facility		$50.10	$50.10	$117.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $50.10 / $50.69	Professional		$47.15	$50.10	$50.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.06 / $260.35 / $260.35	Facility		$52.06	$260.35	$260.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $53.05 / $202.61	Professional		$48.92	$53.05	$202.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $104.14	Facility		$52.07	$52.07	$104.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $63.86	Professional		$52.07	$52.07	$63.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $78.48 / $134.16	Facility		$49.75	$78.48	$134.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $79.50 / $128.44	Professional		$45.64	$79.50	$128.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $57.27 / $75.00	Professional		$52.07	$57.27	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.69 / $79,999.20 / $79,999.20	Facility		$67.69	$79,999.20	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $54.95 / $127.09	Facility		$49.95	$54.95	$127.09
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $58.94 / $70.73	Professional		$58.94	$58.94	$70.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07