Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $423.22	Facility		$0.15	$0.15	$423.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $100.00 / $100.00	Facility		$0.43	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $1.23 / $518.70	Professional		$0.15	$1.23	$518.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.92	Facility		$0.28	$0.28	$0.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.34	Professional		$0.28	$0.28	$0.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.65 / $0.89	Facility		$0.31	$0.65	$0.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.56 / $0.88	Professional		$0.31	$0.56	$0.88
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.22	Professional		$0.18	$0.18	$0.22