Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $14,464.32 / $27,982.24	Facility		$4,500.00	$14,464.32	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $3,781.00	Professional		$750.00	$750.00	$3,781.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $691.81 / $1,339.15	Facility		$90.00	$691.81	$1,339.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $1,191.20 / $2,653.32	Professional		$116.17	$1,191.20	$2,653.32
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 $216.07 / $565.48 / $1,620.37	Facility		$216.07	$565.48	$1,620.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $50.00 / $75.00	Professional		$49.50	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.54 / $369.00 / $591.00	Facility		$192.54	$369.00	$591.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $448.87 / $676.85 / $1,324.12	Facility		$448.87	$676.85	$1,324.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $116.17 / $228.49	Professional		$116.17	$116.17	$228.49
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00