Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,016.00 / $8,500.00 / $22,024.00	Facility		$3,016.00	$8,500.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.00 / $1,420.00 / $27,982.24	Professional		$706.00	$1,420.00	$27,982.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $355.67	Professional		$75.00	$75.00	$355.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38,000.94 / $38,000.94 / $39,593.87	Facility		$38,000.94	$38,000.94	$39,593.87
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 $6,707.52 / $7,363.65 / $12,679.73	Facility		$6,707.52	$7,363.65	$12,679.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00