Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $58.38	Facility		$10.68	$10.68	$58.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.68 / $15.90	Professional		$10.43	$10.68	$15.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.55 / $100.00 / $100.00	Facility		$27.55	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $12.88 / $429.78	Professional		$8.31	$12.88	$429.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $26.14	Facility		$11.66	$11.66	$26.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $11.66 / $23.57	Professional		$11.66	$11.66	$23.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $75.00 / $75.00	Professional		$70.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $11.94	Facility		$11.66	$11.66	$11.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $15.08	Professional		$12.57	$12.57	$15.08