Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,781.94 / $11,522.02 / $27,982.24	Facility		$1,781.94	$11,522.02	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.00 / $3,024.82 / $3,024.82	Professional		$1,078.00	$3,024.82	$3,024.82
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 $5,000.00 / $5,131.00 / $5,131.00	Professional		$5,000.00	$5,131.00	$5,131.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $552.04 / $2,601.75 / $6,259.79	Facility		$552.04	$2,601.75	$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 $578.74 / $949.00 / $1,520.00	Facility		$578.74	$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
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00