Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.43 / $683.42 / $1,081.47	Facility		$438.43	$683.42	$1,081.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $756.51 / $1,795.39 / $1,795.39	Facility		$756.51	$1,795.39	$1,795.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $380.37 / $674.85 / $962.38	Facility		$380.37	$674.85	$962.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $566.44 / $761.79 / $787.25	Facility		$566.44	$761.79	$787.25