Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $10,122.46 / $27,982.24	Facility		$1,652.17	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $1,652.17	Professional		$1,652.17	$1,652.17	$1,652.17
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 $40.00 / $1,150.40 / $1,395.00	Professional		$40.00	$1,150.40	$1,395.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $553.28 / $781.62	Professional		$406.00	$553.28	$781.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,965.91 / $5,965.91 / $5,965.91	Professional		$5,965.91	$5,965.91	$5,965.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,150.40 / $1,150.40 / $1,150.40	Professional		$1,150.40	$1,150.40	$1,150.40