Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $4,500.00 / $22,024.00	Facility		$47.85	$4,500.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $257.60 / $2,695.30	Professional		$47.86	$257.60	$2,695.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $154.59 / $2,040.55	Professional		$75.00	$154.59	$2,040.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $7.60	Professional		$7.60	$7.60	$7.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $303.87 / $303.87	Professional		$303.87	$303.87	$303.87
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
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00