Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $12,214.00 / $27,982.24	Facility		$4,500.00	$12,214.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,470.00 / $27,982.24	Professional		$1,200.00	$1,470.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,206.61 / $1,993.85 / $3,857.32	Facility		$1,206.61	$1,993.85	$3,857.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $961.26 / $3,335.23	Professional		$301.04	$961.26	$3,335.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $635.54 / $1,279.29 / $4,932.85	Facility		$635.54	$1,279.29	$4,932.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $50.00 / $50.00	Professional		$49.50	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $554.59 / $1,063.00 / $1,703.00	Facility		$554.59	$1,063.00	$1,703.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $910.00 / $4,611.00	Facility		$350.00	$910.00	$4,611.00