Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $10.31 / $10.76	Facility		$4.54	$10.31	$10.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $7.85	Professional		$4.54	$4.54	$7.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $90.00 / $100.00	Facility		$64.00	$90.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $53.96 / $125.00	Professional		$6.66	$53.96	$125.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.27	Professional		$6.77	$6.77	$9.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $17.64 / $24.47	Facility		$8.68	$17.64	$24.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $15.80 / $24.47	Professional		$8.68	$15.80	$24.47
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 $23.93 / $23.93 / $23.93	Facility		$23.93	$23.93	$23.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $23.93	Professional		$23.93	$23.93	$23.93
United Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $7.02 / $10.02	Professional		$6.02	$7.02	$10.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $80.16 / $125.00	Professional		$80.16	$80.16	$125.00