Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $357.63 / $489.93	Facility		$206.72	$357.63	$489.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $206.72 / $206.72	Professional		$206.72	$206.72	$206.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $388.00 / $400.00	Professional		$360.00	$388.00	$400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.76 / $288.76 / $288.76	Professional		$288.76	$288.76	$288.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20