Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $32.61 / $34.06	Facility		$14.37	$32.61	$34.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $14.37 / $34.06	Professional		$14.37	$14.37	$34.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $13.61 / $20.50	Professional		$1.48	$13.61	$20.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $14.21	Facility		$14.21	$14.21	$14.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $14.21	Professional		$12.08	$12.08	$14.21
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 $20.20 / $79,999.20 / $79,999.20	Facility		$20.20	$79,999.20	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $15.77 / $16.17	Professional		$9.69	$15.77	$16.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $6.36	Professional		$6.36	$6.36	$6.36