Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,354.00 / $12,900.00 / $23,717.40	Facility		$3,354.00	$12,900.00	$23,717.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $1,950.00 / $4,217.00	Professional		$526.00	$1,950.00	$4,217.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,048.63 / $10,558.66 / $19,848.13	Facility		$8,048.63	$10,558.66	$19,848.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $670.51	Professional		$75.00	$100.00	$670.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10,135.43 / $13,013.18 / $31,309.65	Facility		$10,135.43	$13,013.18	$31,309.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,597.54 / $3,305.12 / $3,523.19	Facility		$2,597.54	$3,305.12	$3,523.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,975.14 / $10,360.75 / $19,669.00	Facility		$7,975.14	$10,360.75	$19,669.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.44 / $317.44 / $317.44	Professional		$317.44	$317.44	$317.44