Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.00 / $11.00	Professional		$10.00	$11.00	$11.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $100.00 / $100.00	Facility		$2.40	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $8.00 / $75.00	Professional		$6.00	$8.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
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 $50.00 / $50.00 / $85.00	Professional		$50.00	$50.00	$85.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,105.71 / $1,105.71 / $1,105.71	Facility		$1,105.71	$1,105.71	$1,105.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,105.71 / $1,105.71 / $1,105.71	Professional		$1,105.71	$1,105.71	$1,105.71