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 $45,516.63 / $45,516.63 / $47,424.59	Facility		$45,516.63	$45,516.63	$47,424.59
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 $11,619.50 / $12,756.11 / $21,965.21	Facility		$11,619.50	$12,756.11	$21,965.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00