Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,354.00 / $12,214.00 / $23,717.40	Facility		$3,354.00	$12,214.00	$23,717.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.00 / $1,420.00 / $27,982.24	Professional		$806.00	$1,420.00	$27,982.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $857.15	Professional		$75.00	$75.00	$857.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $111,228.60 / $111,228.60 / $115,891.06	Facility		$111,228.60	$111,228.60	$115,891.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35,917.69 / $39,431.12 / $67,897.86	Facility		$35,917.69	$39,431.12	$67,897.86
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $25,743.00 / $37,152.00	Facility		$4,252.00	$25,743.00	$37,152.00