Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $10,122.46 / $27,982.24	Facility		$3,135.99	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $4,306.09	Professional		$3,135.99	$3,135.99	$4,306.09
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 / $1,395.00 / $34,351.37	Professional		$40.00	$1,395.00	$34,351.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,653.26 / $10,653.26 / $10,653.26	Professional		$10,653.26	$10,653.26	$10,653.26
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 $2,711.34 / $2,711.34 / $2,711.34	Professional		$2,711.34	$2,711.34	$2,711.34