Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $10,122.46 / $27,982.24	Facility		$1,875.00	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $2,125.00	Professional		$1,875.00	$1,875.00	$2,125.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,729.00 / $11,402.93 / $11,402.93	Professional		$3,729.00	$11,402.93	$11,402.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.62 / $781.62 / $781.62	Professional		$781.62	$781.62	$781.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,360.15 / $3,360.15 / $3,360.15	Professional		$3,360.15	$3,360.15	$3,360.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $49.50 / $50.00	Professional		$49.50	$49.50	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00