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 $65.00 / $65.00 / $1,617.19	Professional		$65.00	$65.00	$1,617.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $592.19 / $2,087.39	Professional		$75.00	$592.19	$2,087.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37,142.94 / $47,688.94 / $114,739.35	Facility		$37,142.94	$47,688.94	$114,739.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,794.65 / $14,046.21 / $24,186.66	Facility		$12,794.65	$14,046.21	$24,186.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,612.00 / $4,686.00 / $19,271.00	Facility		$1,612.00	$4,686.00	$19,271.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,065.34 / $1,065.34 / $1,616.68	Professional		$1,065.34	$1,065.34	$1,616.68