Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.00 / $1,201.00 / $1,201.00	Professional		$1,201.00	$1,201.00	$1,201.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,197.56 / $2,827.07 / $5,469.27	Facility		$2,197.56	$2,827.07	$5,469.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $334.39 / $446.74	Professional		$49.30	$334.39	$446.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,060.50 / $2,564.13 / $4,659.12	Facility		$1,060.50	$2,564.13	$4,659.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $950.50 / $2,586.21 / $4,789.57	Facility		$950.50	$2,586.21	$4,789.57
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 $722.28 / $970.46 / $970.46	Facility		$722.28	$970.46	$970.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,159.44 / $2,827.07 / $5,407.87	Facility		$2,159.44	$2,827.07	$5,407.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.74 / $446.74 / $1,005.17	Professional		$446.74	$446.74	$1,005.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.56 / $353.56 / $353.56	Professional		$353.56	$353.56	$353.56