Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.48 / $585.14 / $904.21	Facility		$373.48	$585.14	$904.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $417.00 / $1,522.92 / $1,522.92	Facility		$417.00	$1,522.92	$1,522.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $309.77 / $568.62 / $810.85	Facility		$309.77	$568.62	$810.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $479.71 / $654.59 / $666.65	Facility		$479.71	$654.59	$666.65