Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.95 / $1,404.67 / $1,924.32	Facility		$811.95	$1,404.67	$1,924.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.88 / $811.95 / $1,348.22	Professional		$602.88	$811.95	$1,348.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,499.18 / $1,696.32 / $5,639.22	Facility		$1,499.18	$1,696.32	$5,639.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $842.61 / $6,219.11 / $8,791.20	Professional		$842.61	$6,219.11	$8,791.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.07 / $876.07 / $1,752.14	Facility		$876.07	$876.07	$1,752.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $405.61 / $2,832.64	Facility		$202.43	$405.61	$2,832.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $476.64 / $2,832.64	Professional		$244.45	$476.64	$2,832.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,325.25 / $1,722.82 / $3,313.12	Professional		$1,325.25	$1,722.82	$3,313.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,328.80 / $1,938.23 / $2,023.40	Facility		$1,328.80	$1,938.23	$2,023.40
United Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $886.96 / $1,064.34	Professional		$886.96	$886.96	$1,064.34