Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $45.05 / $415.09	Facility		$8.47	$45.05	$415.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $182.86 / $235.89	Professional		$182.86	$182.86	$235.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Professional		$6.00	$6.00	$6.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $90.00 / $100.00	Facility		$12.00	$90.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $57.50 / $75.00	Professional		$30.00	$57.50	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $179.84 / $179.84	Professional		$179.84	$179.84	$179.84
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 / $60.00 / $93.50	Professional		$45.00	$60.00	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.20 / $239.20 / $239.20	Facility		$239.20	$239.20	$239.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $39.10 / $57.50	Professional		$39.10	$39.10	$57.50