Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $5,128.00 / $20,680.40	Facility		$2,291.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $955.68 / $1,145.88	Professional		$59.09	$955.68	$1,145.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $691.81 / $1,339.15	Facility		$55.00	$691.81	$1,339.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $1,320.00 / $1,320.00	Professional		$111.71	$1,320.00	$1,320.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $622.08 / $1,620.37	Facility		$216.07	$622.08	$1,620.37
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 $179.00 / $272.57 / $290.11	Facility		$179.00	$272.57	$290.11
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 $111.71 / $111.71 / $111.71	Professional		$111.71	$111.71	$111.71
United Facility/Professional Facility Modifier Low / Median / High Price $210.58 / $830.56 / $1,598.24	Facility		$210.58	$830.56	$1,598.24