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 / $2,200.00	Professional		$1,875.00	$1,875.00	$2,200.00
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 $1,453.16 / $2,880.00 / $6,588.36	Professional		$1,453.16	$2,880.00	$6,588.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$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 $4,027.92 / $4,027.92 / $4,027.92	Professional		$4,027.92	$4,027.92	$4,027.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
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 $1,456.19 / $1,456.19 / $1,456.19	Professional		$1,456.19	$1,456.19	$1,456.19