Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.21 / $1,059.21 / $1,059.21	Professional		$1,059.21	$1,059.21	$1,059.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.05 / $2,936.00 / $5,469.27	Facility		$2,238.05	$2,936.00	$5,469.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $355.58 / $371.55	Professional		$60.00	$355.58	$371.55
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 $2,586.21 / $3,469.32 / $8,697.08	Facility		$2,586.21	$3,469.32	$8,697.08
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 $2,217.61 / $2,880.97 / $5,407.87	Facility		$2,217.61	$2,880.97	$5,407.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.56 / $353.56 / $353.56	Professional		$353.56	$353.56	$353.56