Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $103.51 / $108.07	Facility		$45.60	$103.51	$108.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $45.60 / $60.00	Professional		$45.60	$45.60	$60.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $687.55	Facility		$100.00	$100.00	$687.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.74 / $1,142.74 / $2,291.84	Professional		$1,142.74	$1,142.74	$2,291.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.47 / $443.47 / $570.39	Professional		$443.47	$443.47	$570.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $1.20	Facility		$0.80	$0.80	$1.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.20	Professional		$0.80	$0.80	$1.20
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,142.74 / $1,142.74 / $1,142.74	Professional		$1,142.74	$1,142.74	$1,142.74