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 $1,420.00 / $1,420.00 / $27,982.24	Professional		$1,420.00	$1,420.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,780.27 / $3,444.12	Facility		$55.00	$1,780.27	$3,444.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $285.41 / $2,872.92 / $2,872.92	Professional		$285.41	$2,872.92	$2,872.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $552.04 / $1,731.57 / $6,259.79	Facility		$552.04	$1,731.57	$6,259.79
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 $454.84 / $949.00 / $1,520.00	Facility		$454.84	$949.00	$1,520.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,200.26 / $1,780.27 / $3,405.45	Facility		$1,200.26	$1,780.27	$3,405.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $285.41 / $285.41 / $285.41	Professional		$285.41	$285.41	$285.41
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00