Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.89 / $970.63 / $1,515.04	Facility		$621.89	$970.63	$1,515.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $417.00 / $2,511.42 / $2,511.42	Facility		$417.00	$2,511.42	$2,511.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $513.78 / $917.95 / $1,321.35	Facility		$513.78	$917.95	$1,321.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $797.23 / $1,082.72 / $1,107.51	Facility		$797.23	$1,082.72	$1,107.51