Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.40 / $6,522.00 / $22,024.00	Facility		$2,064.40	$6,522.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $1,320.00 / $3,781.00	Professional		$450.00	$1,320.00	$3,781.00
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 $46.55 / $75.00 / $100.00	Professional		$46.55	$75.00	$100.00
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 / $3,418.26 / $3,523.19	Facility		$2,597.54	$3,418.26	$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 $59.88 / $59.88 / $59.88	Professional		$59.88	$59.88	$59.88