Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $20,680.40	Facility		$1,733.00	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.00 / $730.00 / $1,420.00	Professional		$730.00	$730.00	$1,420.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $10,802.03 / $20,897.68	Facility		$5,897.00	$10,802.03	$20,897.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.00 / $1,173.00 / $1,667.33	Professional		$1,173.00	$1,173.00	$1,667.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,225.00 / $9,505.52 / $22,870.24	Facility		$3,225.00	$9,505.52	$22,870.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,631.79 / $9,225.00 / $9,225.00	Facility		$3,631.79	$9,225.00	$9,225.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,004.63 / $10,795.86 / $20,663.07	Facility		$7,004.63	$10,795.86	$20,663.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,667.33 / $1,667.33 / $1,667.33	Professional		$1,667.33	$1,667.33	$1,667.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00