Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.14 / $903.40 / $1,245.46	Facility		$669.14	$903.40	$1,245.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $2,358.53 / $2,358.53	Facility		$969.19	$2,358.53	$2,358.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $422.84 / $750.20 / $1,123.66	Facility		$422.84	$750.20	$1,123.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $653.16 / $878.94 / $1,037.83	Facility		$653.16	$878.94	$1,037.83