Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.10 / $1,053.18 / $1,482.07	Facility		$775.10	$1,053.18	$1,482.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $539.91 / $2,726.38 / $2,726.38	Facility		$539.91	$2,726.38	$2,726.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $504.99 / $895.95 / $1,344.64	Facility		$504.99	$895.95	$1,344.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $787.43 / $1,035.82 / $1,206.00	Facility		$787.43	$1,035.82	$1,206.00