Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $10,122.46 / $27,982.24	Facility		$791.70	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
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 $1,112.80 / $7,127.82 / $7,127.82	Professional		$1,112.80	$7,127.82	$7,127.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.02 / $642.32 / $781.62	Professional		$496.02	$642.32	$781.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,997.53 / $3,997.53 / $3,997.53	Professional		$3,997.53	$3,997.53	$3,997.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $883.78 / $1,345.76 / $1,431.79	Facility		$883.78	$1,345.76	$1,431.79
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.48 / $1,936.90 / $2,697.83	Professional		$1,217.48	$1,936.90	$2,697.83