Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $10,700.00 / $22,024.00	Facility		$801.00	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $40.00 / $2,719.85	Professional		$38.33	$40.00	$2,719.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $782.39 / $2,534.50 / $2,534.50	Professional		$782.39	$2,534.50	$2,534.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $118.51 / $118.51	Professional		$118.51	$118.51	$118.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
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
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00