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 / $679.58	Professional		$75.00	$75.00	$679.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12,552.39 / $12,552.39 / $13,078.56	Facility		$12,552.39	$12,552.39	$13,078.56
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 $2,663.73 / $2,924.30 / $5,035.43	Facility		$2,663.73	$2,924.30	$5,035.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00