Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $17,930.00 / $50,611.33	Facility		$5,116.62	$17,930.00	$50,611.33
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 / $3,475.48	Facility		$55.00	$1,780.27	$3,475.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $552.04 / $2,726.47 / $6,901.60	Facility		$552.04	$2,726.47	$6,901.60
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 $1,359.85 / $1,848.86 / $3,475.48	Facility		$1,359.85	$1,848.86	$3,475.48
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